Provider Information for 1174164834
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ALLISON GALLO
Sex: Female
NPI: 1174164834
Last Updated: 2024-01-08
Certification Date: 2024-01-03
Certification Date: 2024-01-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174164834 | ||||||||
| Enumeration Date | 2019-10-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2181 APPLETON CIR S OAKLAND PARK, FL 33309-1008 United States Phone: 971-270-0361 | Fax: | ||||||||
| Primary Practice Address | 2181 APPLETON CIRCLE SOUTH OAKLAND PARK, FL 33309 United States Phone: 971-270-0361 | Fax: | ||||||||
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