Provider Demographics
NPI:1235690843
Name:CHIROLDE, ERNESTO (APRN)
Entity Type:Individual
Prefix:
First Name:ERNESTO
Middle Name:
Last Name:CHIROLDE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:ERNESTO
Other - Middle Name:
Other - Last Name:CHIROLDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3580 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4029
Mailing Address - Country:US
Mailing Address - Phone:561-425-5075
Mailing Address - Fax:561-360-3467
Practice Address - Street 1:3580 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-4029
Practice Address - Country:US
Practice Address - Phone:561-425-5075
Practice Address - Fax:561-360-3467
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily