Individual
THEODORE JOHN GIUFFRIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3275 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-7251
(305) 461-2000
Mailing address
3275 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-7251
(305) 461-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME80876
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME80876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME80876
MED LICENSE
FL
Enumeration date
07/14/2006
Last updated
05/20/2020
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