Gallupe, Dean Ronald

Gallupe, Dean Ronald is an sole proprietor health care provider with primary practice located at 11380 Sw Village Parkway#100 , Port Saint Lucie FL 34987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gallupe, Dean Ronald can be contacted via phone (772) 301-6500.

Contact Information

Primary practice address
11380 Sw Village Parkway#100 Port Saint Lucie FL 34987
Phone: (772) 301-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0004411 Florida

Profile Details

NPI number 1700828431
LBN Legal business name Gallupe, Dean Ronald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Dec 22nd, 2025 - about last year

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 1700828431 NPPES
Other 261083931 TAX ID
Other C10361 TAX ID
Other DN2980 TAX ID
Other P01309377 TAX ID
MEDICAID 115302000 TAX ID

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