Organization
KENNETH A GIRALDO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A GIRALDO MD (PRESIDENT)
(941) 343-1040
Entity
Organization
Contact information
Practice address
5831 BEE RIDGE RD, SUITE 100, SARASOTA, FL 34233-5088
(941) 343-1040
(941) 343-1042
Mailing address
5831 BEE RIDGE RD, SUITE 100, SARASOTA, FL 34233-5088
(941) 343-1040
(941) 343-1098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME71677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158358
STAYWELL
FL
01
—
215811
AMERIGROUP
FL
01
—
2965791
AETNA
FL
01
—
44888
BCBS
FL
01
—
N80009-4201
PRINCIPAL LIFE
FL
01
—
P00075216
MEDICARE RAILROAD
FL
Enumeration date
04/20/2006
Last updated
11/07/2016
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