Provider Demographics
NPI:1790730083
Name:GALANTE, EDGARDO P (MD)
Entity Type:Individual
Prefix:
First Name:EDGARDO
Middle Name:P
Last Name:GALANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 MEADOWS RD
Mailing Address - Street 2:SUITE # 110
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2346
Mailing Address - Country:US
Mailing Address - Phone:561-347-6262
Mailing Address - Fax:561-347-6264
Practice Address - Street 1:801 MEADOWS RD
Practice Address - Street 2:SUITE # 110
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2346
Practice Address - Country:US
Practice Address - Phone:561-347-6262
Practice Address - Fax:561-347-6264
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0090270207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
16558OtherBCBS
FL273038300Medicaid
16558ZMedicare ID - Type Unspecified
16558OtherBCBS