1326032061 NPI number — KENNETH ALEJANDRO GIRALDO M.D.,P.A

NPI Number: 1326032061
Health Care Provider/Practitioner: KENNETH ALEJANDRO GIRALDO M.D.,P.A

NPI Number : 1326032061 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326032061",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIRALDO",
    "FirstName": "KENNETH",
    "MiddleName": "ALEJANDRO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.,P.A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5831 BEE RIDGE RD",
    "SecondLineMailingAddress": "STE 100",
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34233-5088",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-343-1040",
    "MailingAddressFaxNumber": "941-343-1042",
    "FirstLinePracticeLocationAddress": "1219 S EAST AVE",
    "SecondLinePracticeLocationAddress": "STE 101",
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34239-2340",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-364-2272",
    "PracticeLocationAddressFaxNumber": "941-954-4375",
    "EnumerationDate": "09/08/2005",
    "LastUpdateDate": "10/04/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/25/2006",
    "NPIReactivationDate": "04/13/2006",
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "ME71677",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}