Provider Demographics
NPI:1497796270
Name:TORIBIO, FIORDALIZA (MD)
Entity Type:Individual
Prefix:DR
First Name:FIORDALIZA
Middle Name:
Last Name:TORIBIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 N DALE MABRY HWY STE 601
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3290
Mailing Address - Country:US
Mailing Address - Phone:813-886-0713
Mailing Address - Fax:813-881-1848
Practice Address - Street 1:8001 N DALE MABRY HWY STE 601
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3290
Practice Address - Country:US
Practice Address - Phone:813-886-0713
Practice Address - Fax:813-881-1848
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0088065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H92923Medicare UPIN