Individual
RICHARD GIOVANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 867-8898
(352) 732-6282
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 401-1160
(352) 401-1262
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME45735
FL
208000000X
Pediatrics Physician
ME45735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023744500
—
FL
01
—
04245
BLUE CROSS BLUE SHIELD
FL
01
—
050085132
RAILROAD MEDICARE
FL
01
—
505428580
TRICARE
FL
Enumeration date
06/02/2006
Last updated
07/24/2020
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