Provider Demographics
NPI:1013244482
Name:GIRALDO, DUVER (ARDMS)
Entity type:Individual
Prefix:MR
First Name:DUVER
Middle Name:
Last Name:GIRALDO
Suffix:
Gender:M
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 PEACE PIPE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8416
Mailing Address - Country:US
Mailing Address - Phone:407-496-2289
Mailing Address - Fax:407-249-0885
Practice Address - Street 1:3947 PEACE PIPE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8416
Practice Address - Country:US
Practice Address - Phone:407-496-2289
Practice Address - Fax:407-249-0885
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARDMS 394082471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography