Individual
TAMARA GIRALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4570 LYONS RD STE 110, COCONUT CREEK, FL 33073-3481
(954) 971-3210
(954) 971-3427
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 971-3210
(954) 971-3427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019673300
—
FL
Enumeration date
10/13/2016
Last updated
10/08/2019
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