Individual
NOLAN A GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086-6586
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0604
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME161787
FL
208VP0000X
Pain Medicine Physician
ME1616787
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119560200
—
FL
Enumeration date
03/27/2018
Last updated
07/28/2025
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