MEDICARE: DANIELA GONZALEZ GALLARDO

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	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1326809310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA GONZALEZ GALLARDO

Provider Business Mailing Address
First Line	:	4097 GARDENIA AVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-3420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4097 GARDENIA AVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-3420
Country	:	US
Telephone Number	:	561-307-9347
Fax Number	:

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

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

Similar Medicare Providers

1467868547 — GREGORY JAMES COX DO
Practice Location Address:

3420 BASSWOOD BLVD STE 115
FORT WORTH, TX
76137-1447

Practice Phone: 817-745-9750
Practice Fax:

1689665341 — DR. JAMES CHARLES COMSTOCK M.D.
Practice Location Address:

3420 INWOOD AVE
LAKE CITY, IA
51449-7577

Practice Phone: 712-464-7251
Practice Fax:

1215942412 — WALGREEN CO
Practice Location Address:

3420 E LAKE RD
PALM HARBOR, FL
34685-2401

Practice Phone: 727-785-7451
Practice Fax:

1184826026 — MS. TERESA L. COHEN LMT
Practice Location Address:

108 HERON BAY CIR
LAKE MARY, FL
32746-3420

Practice Phone: 407-328-5110
Practice Fax:

1508136938 — VISHAL MODI MS RPH
Practice Location Address:

3420 E LAKE RD
PALM HARBOR, FL
34685-2401

Practice Phone: 727-785-7451
Practice Fax: 727-772-5547

1457622292 — DR. DENNIS HAMILTON PHARM D
Practice Location Address:

3420 EAST LAKE RD
PALM HARBOR, FL
34685

Practice Phone: 727-785-7451
Practice Fax:

Directions to “ DANIELA GONZALEZ GALLARDO ” 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.