Provider Demographics
NPI:1235146184
Name:GIOIA, ADRIANA RECIO (MD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:RECIO
Last Name:GIOIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3888 MAGELLAN TRL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2589
Mailing Address - Country:US
Mailing Address - Phone:850-644-9496
Mailing Address - Fax:850-644-0355
Practice Address - Street 1:137 COLLEGIATE WAY - FSU/TSHC
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32306-2140
Practice Address - Country:US
Practice Address - Phone:850-644-9496
Practice Address - Fax:850-644-0355
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME04887207Q00000X
VA0101048752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E65216Medicare UPIN