| Dr Dean Ronald Gallupe, DO | |
|
11380 Sw Village Parkway#100, Port Saint Lucie, FL 34987 | |
| (772) 301-6500 | |
| Not Available |
| Full Name | Dr Dean Ronald Gallupe |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 11380 Sw Village Parkway#100, Port Saint Lucie, 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 11380 Sw Village Parkway#100, Port Saint Lucie, FL 34987 Ph: (772) 301-6500 |
Dr. Bambi Petrinic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986 Phone: 772-344-7228 Fax: 772-344-7158 | |
Bibiana Rocio Sandoval, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-8100 | |
Joel Dorce Alexandre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1362 Sw Bayshore Blvd, Port Saint Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215 | |
Dr. Edward K Kankam, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 293 Nw Peacock Blvd Ste 101-104, Port Saint Lucie, FL 34986 Phone: 772-335-9600 Fax: 772-879-4478 | |
Dr. Patrick Leung, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Nw Peacock Blvd #880891, Port Saint Lucie, FL 34986 Phone: 816-398-8916 | |
Dionne Layne Hinds, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste C-106, Port Saint Lucie, FL 34952 Phone: 772-249-0636 Fax: 772-237-3114 | |
Dr. Joseph Michael Wierzbicki, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9077 S Federal Hwy, Port Saint Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 |