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Organization
MANUEL GALLEGO MD PA
Active
Organization
MANUEL GALLEGO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. LYNNE PARKER GALLEGO MBA (ADMINISTRATOR)
(941) 764-6300
Entity
Organization
Contact information
Practice address
3466 DEPEW AVE, PORT CHARLOTTE, FL 33952-7015
(941) 764-6300
(941) 764-7297
Mailing address
PO BOX 510298, PUNTA GORDA, FL 33951-0298
(041) 764-6300
(941) 764-7297
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MH0004146
FL
2084P0800X
Psychiatry Physician
ME0076119
FL
Other
Enumeration date
04/17/2007
Last updated
09/11/2025
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