| Cynthia Ann Gallo Pa | |
|
39 Marco Villas Dr Marco Island FL 34145-4681 | |
| (239) 399-0078 | |
| Not Available |
| Full Name | Cynthia Ann Gallo Pa |
|---|---|
| Speciality | Social Worker |
| Location | 39 Marco Villas Dr, Marco Island, Florida |
| Authorized Official Name and Position | Cynthia Ann Gallo (OWNER) |
| Authorized Official Contact | 2393990078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Ann Gallo Pa 39 Marco Villas Dr Marco Island FL 34145-4681 Ph: () - | Cynthia Ann Gallo Pa 39 Marco Villas Dr Marco Island FL 34145-4681 Ph: (239) 399-0078 |
| NPI Number | 1568105864 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Medicare PECOS PAC ID | 2769879790 |
|---|---|
| Medicare Enrollment ID | O20220421001968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568105864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Gallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013444124 PECOS PAC ID: 5395014252 Enrollment ID: I20170707003063 |
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