Provider Demographics
NPI:1841223864
Name:GIANINI, ANGELA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:GIANINI
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 1:200 BOOTH RD
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5715
Mailing Address - Country:US
Mailing Address - Phone:386-523-1212
Mailing Address - Fax:386-523-1213
Practice Address - Street 1:200 BOOTH RD
Practice Address - Street 2:SUITE 4A
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5715
Practice Address - Country:US
Practice Address - Phone:386-523-1212
Practice Address - Fax:386-523-1213
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96332208000000X
NC2007-00599208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics