Gallenero, Sergio M

Gallenero, Sergio M is an sole proprietor health care provider with primary practice located at 983 N University Dr , Coral Springs FL 33071-7048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gallenero, Sergio M can be contacted via phone (954) 753-7477.

Contact Information

Primary practice address
983 N University Dr Coral Springs FL 33071-7048
Fax: (954) 642-0258
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 43373 Florida

Profile Details

NPI number 1093925315
LBN Legal business name Gallenero, Sergio M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Sep 19th, 2012 - about 13 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 1093925315 NPPES
Florida MEDICAID 049514000

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