Individual
CARISSA GAGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST STE 400, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062792
PA
363AS0400X
Surgical Physician Assistant
PA9113181
FL
Other
Enumeration date
06/05/2020
Last updated
08/22/2022
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