Provider Demographics
NPI:1679749436
Name:GARCES-AMBROSSI MUNCEY, GIANNINA L (MD)
Entity type:Individual
Prefix:
First Name:GIANNINA
Middle Name:L
Last Name:GARCES-AMBROSSI MUNCEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GIANNINA
Other - Middle Name:L
Other - Last Name:MUNCEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1825 NW CORPORATE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-8559
Mailing Address - Country:US
Mailing Address - Phone:561-299-3667
Mailing Address - Fax:561-299-3670
Practice Address - Street 1:1309 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3406
Practice Address - Country:US
Practice Address - Phone:561-655-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124931207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine