Provider Demographics
NPI:1124183363
Name:GIERBOLINI, JOSE ISMAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ISMAEL
Last Name:GIERBOLINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1500 CONCORD TERRACE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2031
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-858-0404
Practice Address - Street 1:83 W MILLER ST
Practice Address - Street 2:MP 324
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2031
Practice Address - Country:US
Practice Address - Phone:407-841-5218
Practice Address - Fax:407-649-6939
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME721582080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277645600Medicaid
KSE54193Medicare UPIN