Provider Demographics
NPI:1477520609
Name:GIANETTI, LINDA CHRISTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CHRISTINA
Last Name:GIANETTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 N DALE MABRY HWY
Mailing Address - Street 2:STE. 114
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3270
Mailing Address - Country:US
Mailing Address - Phone:813-935-5220
Mailing Address - Fax:813-931-8787
Practice Address - Street 1:7819 N DALE MABRY HWY
Practice Address - Street 2:STE. 114
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3270
Practice Address - Country:US
Practice Address - Phone:813-935-5220
Practice Address - Fax:813-931-8787
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006733111N00000X
NJMC04518111N00000X
PADC-005196-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL218OtherUNITED HEALTHCARE NUMBER
FL297779OtherAV MED PROVIDER NUMBER
FL113OtherGE WELLNESS NUMBER
FL092935OtherACN PROVIDER NUMBER
FL12121298OtherMULTIPLAN PROVIDER NUMBER
FL55179OtherBC/BS NUMBER
FL113OtherGE WELLNESS NUMBER
FL297779OtherAV MED PROVIDER NUMBER
FL55179YMedicare ID - Type UnspecifiedMEDICARE MEMBER NUMBER