Organization
DOMINGO E GALLIANO JR PA
Active
Organization
DOMINGO E GALLIANO JR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINGO E GALLIANO MD (OWNER)
(941) 625-1033
Entity
Organization
Contact information
Practice address
18308 MURDOCK CIRCLE 108, DOMINGO E GALLIANO JR MD PA, PORT CHARLOTTE, FL 33948
(941) 625-1033
(941) 625-1792
Mailing address
18308 MURDOCK CIRCLE 108, DOMINGO E GALLIANO JR MD PA, PORT CHARLOTTE, FL 33948
(941) 625-1033
(941) 625-1792
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME54294
FL
2086S0102X
Surgical Critical Care Physician
ME54294
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME54294
FL
Other
Enumeration date
07/11/2008
Last updated
08/27/2013
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