MEDICARE: MR. GIRALDO J. ALMEIDA PARDO SR. MSC, CBHCMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	18-60730	CO
2	246ZC0007X	Surgical Assistant	17-213	FL
3	251B00000X	Case Management Agency	CBHCMS.0102717	FL

General Provider Information

NPI Number	:	1164957411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GIRALDO J. ALMEIDA PARDO SR. MSC, CBHCMS

Provider Business Mailing Address
First Line	:	8851 NW 119TH ST UNIT 5103
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-7915
Country	:	US
Telephone Number	:	786-792-7318
Fax Number	:

Provider Business Practice Location Address
First Line	:	8851 NW 119TH ST UNIT 5103
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-7915
Country	:	US
Telephone Number	:	786-792-7318
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	05/21/2024

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