Organization
GALLO PROSTHETIC & ORTHOTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD A GALLO CPO, LPO (PRESIDENT OF MANAGER)
(941) 493-4049
Entity
Organization
Contact information
Practice address
4130 WOODMERE PARK BLVD, SUITE 12, VENICE, FL 34293-2206
(941) 493-4049
(941) 416-9216
Mailing address
4130 WOODMERE PARK BLVD, SUITE 12, VENICE, FL 34293-2206
(941) 493-4049
(941) 416-9216
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
POR - 006
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR - 014
FL
Other
Enumeration date
11/25/2009
Last updated
10/12/2010
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