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General NPI Number Information
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NPI Number | 1841279486
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Entity Type | Individual
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Provider Name | MICHAEL R GALLINA DPM
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 435 COMMERCIAL CT
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City | VENICE
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State | FL
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Zip | 34292-1658
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Country | US
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Telephone | 941-559-0262
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Fax | 941-375-8569
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Provider Business Mailing Address
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Address Line | 425 NURSING HOME DR
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City | ARCADIA
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State | FL
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Zip | 34266-3839
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Country | US
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Telephone | 863-993-2966
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Fax | 863-494-5491
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3070
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License Number State | FL
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