Provider Demographics
NPI:1851053227
Name:CIAMPI, REMIGIO GABRIEL
Entity Type:Individual
Prefix:
First Name:REMIGIO
Middle Name:GABRIEL
Last Name:CIAMPI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 EPSON OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6320
Mailing Address - Country:US
Mailing Address - Phone:407-486-0444
Mailing Address - Fax:
Practice Address - Street 1:2151 CONSULATE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8807
Practice Address - Country:US
Practice Address - Phone:321-444-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL515727004410106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108368400Medicaid