Provider Demographics
NPI:1982313797
Name:GALANO GONZALEZ, CESAR ALEJANDRO (FNP)
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:ALEJANDRO
Last Name:GALANO GONZALEZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8088 LORDS WAY ST
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3159
Mailing Address - Country:US
Mailing Address - Phone:305-721-6177
Mailing Address - Fax:
Practice Address - Street 1:8088 LORDS WAY ST
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3159
Practice Address - Country:US
Practice Address - Phone:305-721-6177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily