Individual
DR. JUAN EDUARDO GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
PO BOX 10030, DAYTONA BEACH, FL 32120-0030
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME98630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01182
BLUE CROSS
FL
05
—
278921300
—
FL
Enumeration date
06/01/2007
Last updated
08/10/2009
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