Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 30266 | FL |
NPI | 1174578009 |
---|---|
Provider Name | Jorge M Giroud |
First Address | St Petersburg, FL 33705-1249 |
Second Address | St Petersburg, FL 33701-4827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D57448 | (02) | FL |