Gallanter, Tisha

Gallanter, Tisha is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Gallanter, Tisha can be contacted via phone (904) 244-5044.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-5044
Fax: (904) 244-4508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X 194584 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME79093 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 214121-1 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 045065 Georgia

Profile Details

NPI number 1609847292
LBN Legal business name Gallanter, Tisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Aug 10th, 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 1609847292 NPPES
Other 930080642 RR CARE
MEDICAID 00811885I RR CARE
MEDICAID 000811885H RR CARE
MEDICAID 256861600 RR CARE
Other P00242437 RR CARE
Other 49209 RR CARE

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