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GREGORIO MEDALLE PA NPI 1194039321


NPI Information

NPI: 1194039321
Provider Name: GREGORIO MEDALLE PA

Doing Business As: GREGORIO N. MEDALLE, M.D., P.A.

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1052 DOWNING CIR
WAUCHULA, FL
ZIP 33873
Phone: (863) 773-3773
Get Directions

GREGORIO MEDALLE PA is a surgery in Wauchula, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREGORIO MEDALLE PA NPI is 1194039321. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gregorio N. Medalle, M.d., P.a..

The provider's business location address is:

1052 DOWNING CIR
WAUCHULA, FL
ZIP 33873-358
Phone: (863) 773-3773
Fax: (863) 773-0358

The provider's authorized official is Gregorio N Medalle .
The authorized official title is Owner/physician and has the following contact phone number (863) 773-3773.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 8/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeME0044016FLORIDANo
2208600000XSurgeryME0044016FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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