Gallant, Michael Charles

Gallant, Michael Charles is an individual health care provider with primary practice located at 601 5Th St S Department 70-7895, St Petersburg FL 33701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gallant, Michael Charles can be contacted via phone (727) 767-4920.

Contact Information

Primary practice address
601 5Th St S Department 70-7895 St Petersburg FL 33701
Fax: (727) 767-4923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME30621 Florida

Profile Details

NPI number 1699738419
LBN Legal business name Gallant, Michael Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699738419 NPPES
Florida MEDICAID 059276500

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