Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME42094 | FL |
NPI | 1023051323 |
---|---|
Provider Name | Loretta M Ciraldo |
First Address | Aventura, FL 33180-2808 |
Second Address | Aventura, FL 33180-2808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 01/09/2010 |