Provider Demographics
NPI:1992034185
Name:GIOTTA, ADELE SHARON (DC)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:SHARON
Last Name:GIOTTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:ADELE
Other - Middle Name:SHARON
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:301 160TH TER
Mailing Address - Street 2:
Mailing Address - City:REDINGTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708-1649
Mailing Address - Country:US
Mailing Address - Phone:727-289-8700
Mailing Address - Fax:
Practice Address - Street 1:301 160TH TER
Practice Address - Street 2:
Practice Address - City:REDINGTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33708-1649
Practice Address - Country:US
Practice Address - Phone:727-289-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9089111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU87467Medicare UPIN