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 | State Of Maine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699776146 PECOS PAC ID: 7517875131 Enrollment ID: O20040610001611 |
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: 863-333-6158 Fax: 386-333-6158 | |
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 | |
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 | |
Donald White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-763-1000 |