Individual
GUSTAVO VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1344 S APOLLO BLVD STE 2A, MELBOURNE, FL 32901-3183
(321) 722-9731
(321) 308-0496
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME172712
FL
207R00000X
Internal Medicine Physician
ME172712
ZZ
207R00000X
Internal Medicine Physician
ME172712
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME172712
FL
208D00000X
General Practice Physician
ME172712
ZZ
208D00000X
General Practice Physician
ME172712
—
Other
Enumeration date
03/26/2025
Last updated
04/08/2026
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