Organization
GALLOS MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIESER GONZALEZ REINA MD (OWNER)
(787) 840-2575
Entity
Organization
Contact information
Practice address
16722 SW 78TH CT, PALMETTO BAY, FL 33157-3788
(787) 840-2575
Mailing address
16722 SW 78TH CT, PALMETTO BAY, FL 33157-3788
(787) 840-2575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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