| Alina M Galliano-pardo, P.a. | |
|
4141 Southpoint Dr E Ste A Jacksonville FL 32216-8061 | |
| (904) 853-9000 | |
| (904) 853-5885 |
| Full Name | Alina M Galliano-pardo, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4141 Southpoint Dr E Ste A, Jacksonville, Florida |
| Authorized Official Name and Position | Alina Maria Galliano-pardo (OWNER) |
| Authorized Official Contact | 9048535900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alina M Galliano-pardo, P.a. Po Box 51507 Jacksonville Beach FL 32240-1507 Ph: (904) 853-5900 | Alina M Galliano-pardo, P.a. 4141 Southpoint Dr E Ste A Jacksonville FL 32216-8061 Ph: (904) 853-9000 |
| NPI Number | 1235423989 |
|---|---|
| Provider Enumeration Date | 05/30/2011 |
| Last Update Date | 07/08/2022 |
| Certification Date | 03/07/2022 |
| Medicare PECOS PAC ID | 0446437198 |
|---|---|
| Medicare Enrollment ID | O20110606000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235423989 | NPI | - | NPPES |
| 003427500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Alina M Galliano Pardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073540993 PECOS PAC ID: 7214971464 Enrollment ID: I20110614000480 |
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