MEDICARE: MANUEL J GALCERAN M.D.

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	207R00000X	Internal Medicine Physician	ME0038588	FL

General Provider Information

NPI Number	:	1205943602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL J GALCERAN M.D.

Provider Business Mailing Address
First Line	:	5979 VINELAND RD
Second Line	:	SUITE 310
City	:	ORLANDO
State	:	FL
Zip	:	32819-7800
Country	:	US
Telephone Number	:	407-345-0005
Fax Number	:	407-352-8585

Provider Business Practice Location Address
First Line	:	5979 VINELAND RD
Second Line	:	SUITE 310
City	:	ORLANDO
State	:	FL
Zip	:	32819-7800
Country	:	US
Telephone Number	:	407-345-0005
Fax Number	:	407-352-8585

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	02/17/2017

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