Individual
DR. TARYN NOELLE GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14430 US HIGHWAY 1 STE 104, SEBASTIAN, FL 32958-3289
(772) 589-6400
(772) 589-6441
Mailing address
14430 US HIGHWAY 1 STE 104, SEBASTIAN, FL 32958-3289
(772) 589-6400
(772) 589-6441
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME110807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114002300
—
FL
01
—
14FJ7
BCBS-FL PROVIDER NUMBER
FL
01
—
FJ194Z
MEDICARE PTAN
FL
Enumeration date
09/08/2008
Last updated
04/16/2025
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