Individual
DR. GEORGIA GIANAKAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
841 PRUDENTIAL DR FL 10, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8329
(904) 398-5404
(904) 391-5545
Mailing address
PO BOX 41113, JACKSONVILLE, FL 32203-1113
(904) 376-4400
(904) 391-5545
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01096195A
IN
2084N0400X
Neurology Physician
268597
MA
2084N0400X
Neurology Physician
Primary
ME104973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017899-00
—
FL
05
—
Q094697
—
TN
Enumeration date
06/17/2008
Last updated
04/09/2025
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