| Jeffrey Paul Gally, M.d.,p.a. | |
|
3880 Coconut Creek Pkwy Suite 102 Coconut Creek FL 33066-1652 | |
| (954) 971-6188 | |
| (954) 970-4944 |
| Full Name | Jeffrey Paul Gally, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3880 Coconut Creek Pkwy, Coconut Creek, Florida |
| Authorized Official Name and Position | Jeffrey Gally (PRESIDENT) |
| Authorized Official Contact | 9549716188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Paul Gally, M.d.,p.a. 3880 Coconut Creek Pkwy Suite 102 Coconut Creek FL 33066-1652 Ph: (954) 971-6188 | Jeffrey Paul Gally, M.d.,p.a. 3880 Coconut Creek Pkwy Suite 102 Coconut Creek FL 33066-1652 Ph: (954) 971-6188 |
| NPI Number | 1497057640 |
|---|---|
| Provider Enumeration Date | 11/20/2010 |
| Last Update Date | 11/20/2010 |
| Medicare PECOS PAC ID | 0648456681 |
|---|---|
| Medicare Enrollment ID | O20110509000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497057640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0054889 (Florida) | Primary |
| Provider Name | Jeffrey Gally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114084274 PECOS PAC ID: 1254517295 Enrollment ID: I20110509000832 |
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