Individual
DR. JAMES CONRAD GIEBINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.R.O.
Contact information
Practice address
1130 HICKORY ST STE A, MELBOURNE, FL 32901-1973
(321) 409-1956
(321) 409-1253
Mailing address
1033 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-0351
(321) 361-6962
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME38372
FL
2085R0202X
Diagnostic Radiology Physician
ME38372
FL
2085R0203X
Therapeutic Radiology Physician
ME38372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040897200
—
FL
05
—
372245700
—
FL
01
—
QG681
HFMG MA
FL
Enumeration date
01/05/2006
Last updated
12/14/2023
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