| Susan E Gallegos Dpm Pa | |
|
2082 Sw 164th Ave, Miramar, FL 33027-4475 | |
| (305) 332-7142 | |
| Not Available |
| Full Name | Susan E Gallegos Dpm Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2082 Sw 164th Ave, Miramar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891252607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Susan E Gallegos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992085641 PECOS PAC ID: 7911178298 Enrollment ID: I20110916000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Gallegos Dpm Pa 2082 Sw 164th Ave, Miramar, FL 33027-4475 Ph: (305) 332-7142 | Susan E Gallegos Dpm Pa 2082 Sw 164th Ave, Miramar, FL 33027-4475 Ph: (305) 332-7142 |
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