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Individual

DR. RAYMOND J GIAMMANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 W COCOA BEACH CSWY, CCH/HOSPITALIST DEPT, COCOA BEACH, FL 32931-3585
(321) 868-5871
(321) 868-5852
Mailing address
PO BOX 561600, ROCKLEDGE, FL 32956-1600
(321) 434-4600
(321) 259-0635

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME96822
FL
208M00000X
Hospitalist Physician
Primary
ME96822
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276677900
FL
Enumeration date
08/31/2006
Last updated
09/30/2013
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