MEDICARE: MARIO IVAN GALIANO-CEVALLOS P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9100820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710099213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO IVAN GALIANO-CEVALLOS P.A

Provider Business Mailing Address
First Line	:	4469 S CONGRESS AVE STE 106
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4726
Country	:	US
Telephone Number	:	561-642-0768
Fax Number	:	561-642-0769

Provider Business Practice Location Address
First Line	:	4469 S CONGRESS AVE STE 106
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4726
Country	:	US
Telephone Number	:	561-642-0768
Fax Number	:	561-642-0769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1861504342 — GUADALUPE MEDICAL CENTER INC
Practice Location Address:

4469 S CONGRESS AVE STE 106
LAKE WORTH, FL
33461-4726

Practice Phone: 561-642-0768
Practice Fax: 561-642-0769

1306561436 — AYLEN DIAZ GARCIA APRN
Practice Location Address:

4469 S CONGRESS AVE STE 106
PALM SPRINGS, FL
33461-4726

Practice Phone: 561-642-0768
Practice Fax:

1891597050 — LUNGMD, PA
Practice Location Address:

4469 S CONGRESS AVE STE 106
PALM SPRINGS, FL
33461-4726

Practice Phone: 561-954-2731
Practice Fax: 561-257-0227

1861156911 — MRS. CLAUDIA SERENO
Practice Location Address:

122 BUTTERCUP ST
LAKE JACKSON, TX
77566-4726

Practice Phone: 281-382-1067
Practice Fax:

1821824863 — DANIELLE JANE GOMEZ
Practice Location Address:

24701 RAYMOND WAY SPC 39
LAKE FOREST, CA
92630-4726

Practice Phone: 949-434-7214
Practice Fax:

1982401840 — JEFF ALEXANDER
Practice Location Address:

1409 LAKE SHORE DR
BEATRICE, NE
68310-4726

Practice Phone: 303-263-2614
Practice Fax:

Directions to “ MARIO IVAN GALIANO-CEVALLOS P.A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.