Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | ME32716 | FL |
N | 207ND0900X | Dermatopathologist | ME32716 | FL |
NPI | 1013960830 |
---|---|
Provider Name | Dr. Ramon E Gallego |
First Address | Deerfield Beach, FL 33442-1417 |
Second Address | Deerfield Beach, FL 33442-1417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D66085 | (02) | FL |
ME32716 | MEDICAL LISC (01) | FL |