Provider Demographics
NPI:1386668184
Name:DE OLIVEIRA, GIOVANNA CECILIA (ARNP)
Entity Type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:CECILIA
Last Name:DE OLIVEIRA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 SW 179TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5214
Mailing Address - Country:US
Mailing Address - Phone:954-436-4505
Mailing Address - Fax:954-436-4505
Practice Address - Street 1:7154 N UNIVERSITY DR
Practice Address - Street 2:SUITE 316
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2916
Practice Address - Country:US
Practice Address - Phone:954-720-3188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9234153363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health