Individual
MANUEL F GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 N 12TH AVE, ARCADIA, FL 34266
(863) 494-1242
(963) 491-0466
Mailing address
725 N 12TH AVE, ARCADIA, FL 34266-8752
(863) 494-1242
(963) 491-0466
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
ME76119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255741000
—
FL
01
—
44665
BCBS
FL
Enumeration date
05/10/2006
Last updated
05/14/2018
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