Provider Demographics
NPI:1356545560
Name:GIGANTE, PAMELA B (NP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:B
Last Name:GIGANTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 HUNTINGTON AVE
Mailing Address - Street 2:SUITE 2850
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02199
Mailing Address - Country:US
Mailing Address - Phone:508-341-3462
Mailing Address - Fax:
Practice Address - Street 1:700 WEST OAK STREET
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4996
Practice Address - Country:US
Practice Address - Phone:800-893-9698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9233444207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP41368Medicare UPIN
FLY3811Medicare ID - Type Unspecified