| Doctor Name: | JUAN CAMILO GIRALDO OSORIO |
| NPI Number: | 1801114582 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 125.054351 |
| Business Practice Address: | 1600 Sw Archer Rd Gainesville, FL - 326103003 |
| Business Phone Number: | 3522657999 |
| Business Fax Number: | |
| Mailing Address: | Po Box 743409, ATLANTA |
| State: | GA |
| Postal Code: | 303743409 |
| Phone Number: | 7275320002 |
| Fax Number: | 7275321325 |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 09/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 125.054351 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |