Individual
RICHARD GIOVANNELLI
Active
Individual
RICHARD GIOVANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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