| Manuel Gallego Md Pa | |
|
3466 Depew Ave Port Charlotte FL 33952-7015 | |
| (941) 764-6300 | |
| (941) 764-7297 |
| Full Name | Manuel Gallego Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3466 Depew Ave, Port Charlotte, Florida |
| Authorized Official Name and Position | Lynne Parker Gallego (ADMINISTRATOR) |
| Authorized Official Contact | 9417646300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Gallego Md Pa Po Box 510298 Punta Gorda FL 33951-0298 Ph: (041) 764-6300 | Manuel Gallego Md Pa 3466 Depew Ave Port Charlotte FL 33952-7015 Ph: (941) 764-6300 |
| NPI Number | 1821213323 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821213323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | MH0004146 (Florida) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0076119 (Florida) | Primary |
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