Individual
SAMUEL G GALLEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21097 NE 27TH CT, # 205, AVENTURA, FL 33180-1204
(305) 682-9877
(305) 682-1602
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 682-9877
(305) 682-1602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278545500
—
FL
Enumeration date
07/02/2007
Last updated
08/31/2016
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