Gallo, Jorge

Gallo, Jorge is an individual health care provider with primary practice located at 1600 S Andrews Ave Phoenix Ob/Gyn, Llc, Fort Lauderdale FL 33316-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gallo, Jorge can be contacted via phone (954) 355-5110.

Contact Information

Primary practice address
1600 S Andrews Ave Phoenix Ob/Gyn, Llc Fort Lauderdale FL 33316-2510
Phone: (954) 355-5110
Fax: (954) 355-4919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME58146 Florida

Profile Details

NPI number 1043212640
LBN Legal business name Gallo, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 13th, 2014 - about 12 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 1043212640 NPPES
Florida MEDICAID 064359900

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