NPI 1033542709

Nicole Gallego, MD

Organisation Non-Pharmacy Dispensing Site Pembroke Pines, FL

Practice location

Address: 460 N University Dr, Pembroke Pines, FL 33024-6720
Phone: (954) 937-4004
Fax: (954) 437-8086
Mailing address: 7200 Corporate Center Dr 600, Miami, FL 33126-1200

Authorised official

Name: Holly Lopez
Title: Vp Support Services
Phone: (305) 500-2108

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence ME98379 (FL)

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Registry record

NPI: 1033542709
Entity type: Organization
NPI issued: 16 Aug 2013
Record last updated: 16 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.