Basic Information
| Provider Information | |||||||||
| NPI: | 1679749436 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCES-AMBROSSI MUNCEY | ||||||||
| FirstName: | GIANNINA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | MUNCEY | ||||||||
| OtherFirstName: | GIANNINA | ||||||||
| OtherMiddleName: | L | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1825 NW CORPORATE BLVD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334318559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612993667 | ||||||||
| FaxNumber: | 5612993670 | ||||||||
| Practice Location | |||||||||
| Address1: | 1309 N FLAGLER DR | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334013406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616555511 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2008 | ||||||||
| LastUpdateDate: | 01/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LC0200X | ME124931 | FL | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Critical Care Medicine |
No ID Information.