| Dr Dean Ronald Gallupe, DO | |
|
720 Dunlawton Ave # 200, Port Orange, FL 32127-4901 | |
| (386) 202-7770 | |
| (386) 202-7771 |
| Full Name | Dr Dean Ronald Gallupe |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 720 Dunlawton Ave # 200, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700828431 | NPI | - | NPPES |
| 261083931 | Other | TAX ID | |
| C10361 | Other | GROUP ORGANIZATION PTAN | |
| DN2980 | Other | GROUP PTAN | |
| P01309377 | Other | PTAN | |
| 115302000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0004411 (Florida) | Primary |
| Entity Name | Doctors Health Group Of South Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093723348 PECOS PAC ID: 7214901586 Enrollment ID: O20050401000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dean Ronald Gallupe, DO 720 Dunlawton Ave # 200, Port Orange, FL 32127-4901 Ph: (386) 202-7770 | Dr Dean Ronald Gallupe, DO 720 Dunlawton Ave # 200, Port Orange, FL 32127-4901 Ph: (386) 202-7770 |
Dr. Sandra Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1185 Dunlawton Ave, Suite 104, Port Orange, FL 32127 Phone: 386-767-5477 Fax: 386-767-5580 | |
Dr. Michael Morgan Dietch Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3875 S Nova Rd, Port Orange, FL 32127 Phone: 386-322-9244 Fax: 386-788-9776 | |
Dr. Christian A Kovats, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3821 Woodbriar Trl Ste 6, Port Orange, FL 32129 Phone: 845-996-8177 Fax: 718-362-1651 | |
Dr. George Thomas Bernardo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 790 Dunlawton Ave, Suite E, Port Orange, FL 32127 Phone: 386-760-1877 Fax: 386-760-2791 | |
Dr. Raul L Zimmerman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-425-8720 Fax: 386-322-4720 | |
Naomi Salz Flock, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127 Phone: 386-425-4787 | |
Dr. Carol M Gaines, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5535 S. Williamson Blvd, Suite 700, Port Orange, FL 32128 Phone: 386-231-6300 Fax: 386-322-6165 |