Individual
DR. JORGE GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, PHOENIX OB/GYN, LLC, FORT LAUDERDALE, FL 33316-2510
(954) 355-5110
(954) 355-4919
Mailing address
1600 S. ANDREWS AVENUE, SUITE 323 WEST WING, FORT LAUDERDALE, FL 33316
(954) 355-5110
(954) 355-4919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME58146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064359900
—
FL
Enumeration date
08/12/2005
Last updated
03/13/2014
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