Provider Demographics
NPI:1558450536
Name:SCHIAVONI, DENISE VERONICA (DO)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:VERONICA
Last Name:SCHIAVONI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18800 NE 29TH AVE .
Mailing Address - Street 2:# 618
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:786-888-8689
Mailing Address - Fax:
Practice Address - Street 1:1201 NW 16TH STREET
Practice Address - Street 2:VA MEDICAL CENTER MIAMI
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-575-3160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9765207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine