Gallego, Samuel G

Gallego, Samuel G is an sole proprietor health care provider with primary practice located at 21097 Ne 27Th Ct # 205, Aventura FL 33180-1204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gallego, Samuel G can be contacted via phone (305) 682-9877.

Contact Information

Primary practice address
21097 Ne 27Th Ct # 205 Aventura FL 33180-1204
Fax: (305) 682-1602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82380 Florida

Profile Details

NPI number 1336346485
LBN Legal business name Gallego, Samuel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Aug 31st, 2016 - about 8 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 1336346485 NPPES
Florida MEDICAID 278545500

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