# GANO MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548127277
- **Authorized official:** DR. RYAN NICHOLAS NOLTE MD (OWNER)
- **Authorized official phone:** (251) 689-2906

## Contact information

- **Practice address:** 870 MACK BAYOU RD STE D, SANTA ROSA BEACH, FL 32459-7161
- **Practice address phone:** (850) 888-4470
- **Mailing address:** 870 MACK BAYOU RD STE D, SANTA ROSA BEACH, FL 32459-7161
- **Mailing address phone:** (850) 888-4470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/06/2026
- **Last updated:** 01/06/2026