Provider Demographics
NPI:1669602942
Name:GIOVANELLI PORRATA, CLAUDIA MARIA (MD, MPH)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MARIA
Last Name:GIOVANELLI PORRATA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:14129 GREENTREE TRL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4028
Mailing Address - Country:US
Mailing Address - Phone:561-667-8001
Mailing Address - Fax:
Practice Address - Street 1:3319 STATE ROAD 7
Practice Address - Street 2:SUITE # 212
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8094
Practice Address - Country:US
Practice Address - Phone:561-318-3727
Practice Address - Fax:561-828-3254
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1050562083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001371900Medicaid