=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477724474
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL ROWELL GALLO ARNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2008
-----------------------------------------------------
Last Update Date | 08/29/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19130 ANAHEIM DR
-----------------------------------------------------
City | SPRING HILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34610-5472
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-938-9141
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14851 STATE ROAD 52, UNIT 107 PMB# 110
-----------------------------------------------------
City | HUDSON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34669-4061
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-699-0123
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 3281262
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------