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General NPI Number Information
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NPI Number | 1417817107
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Entity Type | Individual
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Provider Name | JOSE ARIEL GIRALDO FLOREZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1120 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-7869
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Fax | 706-721-7763
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Provider Business Mailing Address
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Address Line | 1405 EARNEST WAY
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City | ODENTON
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State | MD
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Zip | 21113-4076
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Country | US
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Telephone | 667-417-5431
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 110174
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License Number State | GA
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