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NPI Code Detail

MEDICARE: MRS. KARA KATHLEEN GALLAMORE FNP-BC

MEDICARE: MRS. KARA KATHLEEN GALLAMORE FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN11017373FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821742834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARA KATHLEEN GALLAMORE FNP-BC
Provider Business Mailing Address
First Line : 2172 W NINE MILE RD STE 264
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-9413
Country : US
Telephone Number : 888-737-5799
Fax Number :
Provider Business Practice Location Address
First Line : 8051 N TAMIAMI TRL STE E6
Second Line :
City : SARASOTA
State : FL
Zip : 34243-2067
Country : US
Telephone Number : 888-737-5799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 09/20/2023

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