Provider Demographics
NPI:1023339629
Name:GALIANO, ANGELINE V (MD)
Entity type:Individual
Prefix:
First Name:ANGELINE
Middle Name:V
Last Name:GALIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8360 SIERRA MEADOWS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-7328
Mailing Address - Country:US
Mailing Address - Phone:239-624-8300
Mailing Address - Fax:239-430-7805
Practice Address - Street 1:5501 W GRAY ST STE 100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1007
Practice Address - Country:US
Practice Address - Phone:813-319-0911
Practice Address - Fax:813-319-0914
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128111207Q00000X
CAA137599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLYK4ULOtherBCBS
FLIP740ZOtherMEDICARE
FLYK4ULOtherBCBS
FLIP740ZMedicare PIN