Organization
GIRALDO E CEPEDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIRALDO ENRIQUE CEPEDA MD (PRESIDENT)
(772) 467-6587
Entity
Organization
Contact information
Practice address
1221 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4707
(772) 467-6587
(772) 466-4297
Mailing address
1221 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4707
(772) 467-6587
(772) 466-4297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0058912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254831300
—
FL
Enumeration date
05/06/2008
Last updated
05/07/2008
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