Individual
IVAN MAURICIO GIRALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2072 S MILITARY TRL, SUITE # 4, WEST PALM BEACH, FL 33415-6419
(561) 281-5522
Mailing address
2072 S MILITARY TRL, SUITE # 4, WEST PALM BEACH, FL 33415-6419
(561) 281-5522
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA23533
FL
Other
Enumeration date
08/18/2008
Last updated
09/17/2009
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