# MR. SALVADOR A GALLARDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295794188
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME89290 | FL | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 07/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 273832500 | — | FL |
| 01 | — | 53009 | BCBS FL | FL |
| 01 | — | P00707508 | RR MEDICARE | FL |