Gagliardi, Ida Joann

Gagliardi, Ida Joann is an individual health care provider with primary practice located at 4300 Kings Hwy Suite 210, Port Charlotte FL 33980-2917. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gagliardi, Ida Joann can be contacted via phone (239) 344-2306.

Contact Information

Primary practice address
4300 Kings Hwy Suite 210 Port Charlotte FL 33980-2917
Phone: (239) 344-2306
Fax: (941) 629-2365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME89791 Florida

Profile Details

NPI number 1760488464
LBN Legal business name Gagliardi, Ida Joann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760488464 NPPES
Florida MEDICAID 274970000

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