Provider Demographics
NPI:1194465146
Name:GIOVINAZZO, VINCENZO ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:VINCENZO
Middle Name:ANDREW
Last Name:GIOVINAZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 LINTON BLVD # 247
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6512
Mailing Address - Country:US
Mailing Address - Phone:561-334-6240
Mailing Address - Fax:561-495-3467
Practice Address - Street 1:5440 LINTON BLVD # 247
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6512
Practice Address - Country:US
Practice Address - Phone:561-334-6240
Practice Address - Fax:561-495-3467
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program