Provider Demographics
NPI:1326041278
Name:GALFO, MARK S (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:GALFO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:805 CENTURY MEDICAL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-2100
Mailing Address - Country:US
Mailing Address - Phone:321-267-8311
Mailing Address - Fax:321-267-2881
Practice Address - Street 1:494 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2871
Practice Address - Country:US
Practice Address - Phone:321-267-8311
Practice Address - Fax:321-267-2881
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2021-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 64127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373744600Medicaid
FL23427OtherBC/BS
FL0332542OtherCIGNA
FL080190745OtherRAILROAD MEDICAID
FL4344272OtherAETNA
FL23427VMedicare PIN