Individual
GIOVANNY I NIEVES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
15100 RESCUE WAY, CLEARWATER, FL 33762-3524
(727) 535-1437
(727) 535-4190
Mailing address
3243 ALLANDALE DR, HOLIDAY, FL 34691-3376
(727) 642-5008
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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