MEDICARE: ALINA M GALLIANO-PARDO, 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	2084P0802X	Addiction Psychiatry Physician
2	2084P0800X	Psychiatry Physician

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	:	1235423989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALINA M GALLIANO-PARDO, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 51507
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32240-1507
Country	:	US
Telephone Number	:	904-853-5900
Fax Number	:	904-853-5885

Provider Business Practice Location Address
First Line	:	4141 SOUTHPOINT DR E STE A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8061
Country	:	US
Telephone Number	:	904-853-9000
Fax Number	:	904-853-5885

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALINA MARIA GALLIANO-PARDO
Credential	:	M.D.
Telephone Number	:	904-853-5900

Provider Enumeration Date	:	05/30/2011
Last Update Date	:	07/08/2022

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