Individual
DR. JON B GALLINATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
7620 NW 186TH ST, HIALEAH, FL 33015
(305) 829-5001
(305) 829-3902
Mailing address
7620 NW 186TH ST, HIALEAH, FL 33015
(305) 829-5001
(305) 829-3902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2101
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2101
FL
213ER0200X
Radiology Podiatrist
PO2101
FL
213ES0131X
Foot Surgery Podiatrist
PO2101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390038000
—
FL
01
—
65204
BCBS
FL
Enumeration date
02/22/2007
Last updated
06/15/2017
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