Provider Demographics
NPI:1225284060
Name:WALESKA GALINDEZ MDPA
Entity Type:Organization
Organization Name:WALESKA GALINDEZ MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALESKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALINDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-894-5054
Mailing Address - Street 1:PO BOX 771000
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32877-1000
Mailing Address - Country:US
Mailing Address - Phone:407-894-5054
Mailing Address - Fax:407-894-7818
Practice Address - Street 1:5273 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-8741
Practice Address - Country:US
Practice Address - Phone:407-894-5054
Practice Address - Fax:407-894-7818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064225261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377644100Medicaid
FL26585Medicare PIN
FL377644100Medicaid