Provider Demographics
NPI:1366636888
Name:A GALLERANI MD PLLC
Entity Type:Organization
Organization Name:A GALLERANI MD PLLC
Other - Org Name:A. GALLERANI, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGER-GALLERANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-933-6545
Mailing Address - Street 1:20950 NE 27TH CT
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1232
Mailing Address - Country:US
Mailing Address - Phone:305-933-6545
Mailing Address - Fax:305-933-6661
Practice Address - Street 1:20950 NE 27TH CT
Practice Address - Street 2:SUITE 203
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1232
Practice Address - Country:US
Practice Address - Phone:305-933-6545
Practice Address - Fax:305-933-6661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A. GALLERANI, M.D., PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-28
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91412174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty