Provider Demographics
NPI:1053711820
Name:SCOCCIMARRO, GIOVANNA GIULIETTA (CSFA)
Entity type:Individual
Prefix:MS
First Name:GIOVANNA
Middle Name:GIULIETTA
Last Name:SCOCCIMARRO
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4096 LONICERA LOOP
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-4530
Mailing Address - Country:US
Mailing Address - Phone:954-655-7535
Mailing Address - Fax:
Practice Address - Street 1:4725 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4668
Practice Address - Country:US
Practice Address - Phone:954-629-0250
Practice Address - Fax:954-389-6989
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant