CHARLES B GALLOWAY (NPI# 1164608956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164608956 |
| Entity Type | Individual |
| Full Name | CHARLES B GALLOWAY |
| Credential | M.D. |
| Practice Address |
2648 W State Road 434 Suite C Longwood FL 32779-4440 |
| Practice Telephone | 4077887778 |
| Practice Fax Number | 4077887770 |
| Mailing Telephone | 4077887778 |
| Mailing Fax Number | 4077887770 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME47838 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981397 | Charles Justin Galloway | Counselor | 300 Oak St, Suite 203, St Simons Island, GA 31522-4738 | 2015-05-18 |
| Street Address |
2648 W STATE ROAD 434 SUITE C |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851576052 | Donny Moon | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-07 |
| 1477783439 | Holly Morgan | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2009-07-23 |
| 1316187396 | Julissa E Manzzo | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2009-03-03 |
| 1407032923 | Maloida Breboneria | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972744860 | Keith B Murray | General Practice | 2180 W Sr 434, Suite 2110, Longwood, FL 32779-5041 | 2009-03-23 |
| 1558655647 | Lymphedema Clinic of Orlando, Inc | General Practice | 2139 W State Road 434, Suite #101, Longwood, FL 32779-5019 | 2011-06-06 |
| 1780838045 | Lpmg Inc | General Practice | 212 W Bay Ave, Longwood, FL 32750-4126 | 2008-11-12 |
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| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.