MEDICARE: LORETTA GALLO-LOPEZ

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	101YM0800X	Mental Health Counselor	MH0002899	FL

General Provider Information

NPI Number	:	1902089584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA GALLO-LOPEZ

Provider Business Mailing Address
First Line	:	105 E GIDDENS AVE
Second Line	:	SUITE 7
City	:	TAMPA
State	:	FL
Zip	:	33603-2156
Country	:	US
Telephone Number	:	813-231-2520
Fax Number	:	813-200-3293

Provider Business Practice Location Address
First Line	:	105 E GIDDENS AVE
Second Line	:	SUITE 7
City	:	TAMPA
State	:	FL
Zip	:	33603-2156
Country	:	US
Telephone Number	:	813-231-2520
Fax Number	:	813-200-3293

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

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	12/06/2007

Similar Medicare Providers

1992705313 — DR. MARISSE GOLDMAN M.D.
Practice Location Address:

3304 WESTMORELAND DR
TAMPA, FL
33618-2156

Practice Phone: 813-690-2003
Practice Fax: 813-264-6929

1619653136 — ANAILYS LEON
Practice Location Address:

214 SUNSET CIR
TAMPA, FL
33613-2156

Practice Phone: 813-379-5493
Practice Fax:

1619415197 — RIVERSIDE RECOVERY OF TAMPA, LLC
Practice Location Address:

4004 N. RIVERSIDE DR.
TAMPA, FL
33603

Practice Phone: 813-296-8308
Practice Fax: 813-433-5222

1417816711 — MS. ERIN BERRY APRN
Practice Location Address:

4816 N ARMENIA AVE
TAMPA, FL
33603-1400

Practice Phone: 813-876-3636
Practice Fax: 813-870-0077

1356298053 — REAGAN TAYLOR
Practice Location Address:

4114 N NEBRASKA AVE
TAMPA, FL
33603-4306

Practice Phone: 865-599-8382
Practice Fax:

1750238416 — JESSICA CARAVIA
Practice Location Address:

3108 N JEFFERSON ST UNIT 109
TAMPA, FL
33603-5912

Practice Phone: 786-202-2124
Practice Fax:

Directions to “ LORETTA GALLO-LOPEZ ” 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.