Organization
TEAM ACG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MICHELLE GALLAGHER RDN, LDN (REGISTERED DIETITIAN, MEMBER)
(321) 255-7841
Entity
Organization
Contact information
Practice address
3190 SUNTREE BLVD STE 101, ROCKLEDGE, FL 32955-5741
(321) 255-7841
(888) 972-3871
Mailing address
5247 INDIGO CROSSING DR, ROCKLEDGE, FL 32955-6053
(321) 255-7841
(888) 972-3871
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
ND3586
FL
Other
Enumeration date
05/12/2017
Last updated
12/13/2017
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