Provider Demographics
NPI:1831914845
Name:STEPHEN A GIUNTA PHD
Entity type:Organization
Organization Name:STEPHEN A GIUNTA PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ALPHONSE
Authorized Official - Last Name:GIUNTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-365-6155
Mailing Address - Street 1:2180 CLOVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1727
Mailing Address - Country:US
Mailing Address - Phone:727-365-6155
Mailing Address - Fax:
Practice Address - Street 1:2430 ESTANCIA BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2644
Practice Address - Country:US
Practice Address - Phone:727-365-6155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)