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Derrek Giansiracusa
Student in an Organized Health Care Education/Training Program in Trinity, Florida
NPI 1154023737

Derrek Giansiracusa is a Student in an Organized Health Care Education/Training Program based in Trinity, FL. Derrek Giansiracusa practices in Trinity, FL. The NPI Number for Derrek Giansiracusa is 1154023737 and holds a License No. (Florida).

The current practice location address for Derrek Giansiracusa is 9330 State Road 54, Trinity, FL and can be reached out via phone at 727-207-7204.

Location: 9330 State Road 54, Trinity, FL, 34655-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154023737
Provider Name
Derrek Giansiracusa
Credential
Provider Entity Type
Individual
Gender
Male
Address
9330 State Road 54, Trinity, FL, 34655-1808
Phone Number
727-207-7204
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9330 State Road 54
City
Trinity
State
Florida
Zip
34655-1808
Phone Number
727-207-7204
Fax Number
person
Provider Business Mailing Address Details
Address
9330 State Road 54
City
Trinity
State
Florida
Zip
34655-1808
Phone Number
727-207-7204
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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