Individual
MICHAEL GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7800 US HIGHWAY 98 W # ER, MIRAMAR BEACH, FL 32550-7228
(850) 278-3000
(850) 475-4781
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 278-3000
(850) 475-4781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA2295
FL
363A00000X
Physician Assistant
PA2295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291074800
—
FL
01
—
Y0L2E
BCBS FL
FL
Enumeration date
05/16/2006
Last updated
02/15/2016
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