| M Elen P Gajo Md Pa | |
|
68 Beal Pkwy Sw Fort Walton Beach FL 32548-5331 | |
| (850) 243-7035 | |
| (850) 243-8529 |
| Full Name | M Elen P Gajo Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 68 Beal Pkwy Sw, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Maria Elen P Gajo (SOLE PROPRIETORSHIP OPERATIONS) |
| Authorized Official Contact | 8502437035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Elen P Gajo Md Pa 68 Beal Pkwy Sw Fort Walton Beach FL 32548-5331 Ph: (850) 243-7035 | M Elen P Gajo Md Pa 68 Beal Pkwy Sw Fort Walton Beach FL 32548-5331 Ph: (850) 243-7035 |
| NPI Number | 1407191158 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407191158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME60286 (Florida) | Primary |
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