| Michael Gallagher | |
|
422 Northlake Dr North Palm Beach FL 33408-5122 | |
| (561) 389-9450 | |
| (954) 366-3075 |
| Full Name | Michael Gallagher |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 422 Northlake Dr, North Palm Beach, Florida |
| Authorized Official Name and Position | Michael Gallagher (OWNER) |
| Authorized Official Contact | 5613899450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gallagher 422 Northlake Dr North Palm Beach FL 33408-5122 Ph: (561) 389-9450 | Michael Gallagher 422 Northlake Dr North Palm Beach FL 33408-5122 Ph: (561) 389-9450 |
| NPI Number | 1942612791 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942612791 | NPI | - | NPPES |
| BZ595A | Other | FL | PTAN |
| Z01UD | Other | FL | BCBS |
| 674627 | Other | FL | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8263 (Florida) | Primary |
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