Individual
RALPH P IERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
483 N SEMORAN BLVD STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0245
Mailing address
483 N SEMORAN BLVD STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C10008237
DE
2086S0129X
Vascular Surgery Physician
C10008237
DE
2086S0129X
Vascular Surgery Physician
MA59847
NJ
2086S0129X
Vascular Surgery Physician
Primary
ME136693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0965167000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
2083240
AETNA
NJ
05
—
6925804
—
NJ
01
—
CA0000279
AMERICHOICE
NJ
05
—
P12341700
—
MD
Enumeration date
10/04/2006
Last updated
11/13/2024
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