Provider Demographics
NPI:1083615736
Name:GIAIMO, JOSEPH ANTHONY (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:GIAIMO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 BURNS RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5204
Mailing Address - Country:US
Mailing Address - Phone:561-775-3883
Mailing Address - Fax:561-775-3884
Practice Address - Street 1:2511 BURNS RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5204
Practice Address - Country:US
Practice Address - Phone:561-775-3883
Practice Address - Fax:561-775-3884
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6313207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL206316OtherAVMED
FL80650OtherBLUE CROSS BLUE SHIELD
FL00418OtherNEIGHBORHOOD HEALTH PARTN
FLP00207421OtherRAILROAD MEDICARE
FL5978078OtherAETNA
FL1006776OtherCARE PLUS
FL370689300Medicaid
FLP00207421OtherRAILROAD MEDICARE
E32481Medicare UPIN