Active NPI
Jack Gigantino
- Student in an Organized Health Care Education/Training Program
- Fort Myers, FL
National Provider Identifier
1740173749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 9020 Arabian Dr Apt 309
Fort Myers, FL 33912-1514 - Phone
- (678) 435-1090
- NPI assigned
- May 30, 2025
- Last updated
- May 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9603518 | FL |
Addresses
Primary practice location
9020 Arabian Dr Apt 309
Fort Myers, FL 33912-1514
Mailing address
9020 Arabian Dr Apt 309
Fort Myers, FL 33912-1514
Phone (678) 435-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9603518 | FL | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1740173749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9020 ARABIAN DR APT 309",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339121514",
"telephone_number": "678-435-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 ARABIAN DR APT 309",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339121514",
"telephone_number": "678-435-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIGANTINO",
"first_name": "JACK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9603518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.