Provider Demographics
NPI:1477236370
Name:GIOVANINI, ELIVET
Entity Type:Individual
Prefix:
First Name:ELIVET
Middle Name:
Last Name:GIOVANINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 AEGEAN TER
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-5854
Mailing Address - Country:US
Mailing Address - Phone:813-361-0397
Mailing Address - Fax:
Practice Address - Street 1:2305 AEGEAN TER
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-5854
Practice Address - Country:US
Practice Address - Phone:813-361-0397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program