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Individual

SERGIO M GALLENERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
983 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-7048
(954) 753-7477
(954) 642-0258
Mailing address
PO BOX 8534, CORAL SPRINGS, FL 33075-8534
(954) 753-7477
(954) 642-0258

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 43373
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049514000
FL
Enumeration date
05/23/2007
Last updated
09/19/2012
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