Michael C. Ianniello, Do

NPI #1407142425 in Melbourne, Florida

Provider Information

NPI Number: 1407142425
Entity Type: Organization
Organization Name: Michael C. Ianniello, Do
Primary Specialty: Internal Medicine
Enumeration Date: Jun 28, 2011
Last Updated: Sep 26, 2019

Practice Location

Address: 2560 JUDGE FRAN JAMIESON WAY UNIT 1313
City: Melbourne
State: Florida
ZIP Code: 32940
Phone: (954) 235-3752

Authorized Official

Name: DR. MICHAEL IANNIELLO, DO
Title: OWNER, PHYSICIAN
Phone: (954) 235-3752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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