Individual
MICHAEL CHARLES GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 5TH ST S, DEPARTMENT 70-7895, ST PETERSBURG, FL 33701
(727) 767-4920
(727) 767-4923
Mailing address
601 5TH STREET, DEPARTMENT 70-7895, ST PETERSBURG, FL 33701-4825
(727) 767-4920
(727) 767-4923
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME30621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059276500
—
FL
Enumeration date
04/11/2006
Last updated
10/04/2010
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