Organization
CENTENNIAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M GIORGIANNI DO (OWNER)
(321) 622-8031
Entity
Organization
Contact information
Practice address
1341 BEDFORD DRIVE, MELBOURNE, FL 32940
(321) 622-8031
(321) 610-7487
Mailing address
1341 BEDFORD DRIVE, MELBOURNE, FL 32940
(321) 622-8031
(321) 610-7487
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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