Renee A Gallo (NPI# 1043524119, PAC ID# 1153550926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1043524119 |
| PAC ID by PECOS | 1153550926 |
| Professional Enrollment ID | I20151028002582 |
| Full Name | Renee A Gallo |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Address |
1564 Kingsley Ave Suite 300 Orange Park FL 32073-4521 |
| Phone Number | 9042648801 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 1254238579 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 13241 Bartram Park Blvd, Unit 1101, Jacksonville, FL 32258-5238 | 9042888311 | PHYSICIANS GROUP SERVICES PA |
| 280 Dundas Dr, Jacksonville, FL 32218-5517 | 9047514906 | PHYSICIANS GROUP SERVICES PA |
| 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073-4592 | 9042647517 | PHYSICIANS GROUP SERVICES PA |
| 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 | 9042648801 | PHYSICIANS GROUP SERVICES PA |
| 421 Kingsley Ave, Orange Park, FL 32073-4898 | PHYSICIANS GROUP SERVICES PA |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Correa-cedeno | Podiatry | Physicians Group Services Pa | 1821 Blanding Blvd, Suite 1, Middleburg, FL 32068-3839 |
| Megan E Andersen | Nurse Practitioner | Physicians Group Services Pa | 10250 Normandy Blvd, Unit 802, Jacksonville, FL 32221-8064 |
| Katarina A Devault | Nurse Practitioner | Physicians Group Services Pa | 2726 Saint Johns Ave, Suite 101, Jacksonville, FL 32205-8258 |
| Andrea M Patterson | Nurse Practitioner | Physicians Group Services Pa | 1906 Southside Blvd, Jacksonville, FL 32216-1930 |
| Christine Kay Turner | Nurse Practitioner | Physicians Group Services Pa | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 |
| Kent Braeutigam | Family Medicine | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Michael A Edwards | Family Medicine | Physicians Group Services Pa | 421 Kingsley Ave, Suite 401, Orange Park, FL 32073-4898 |
| Peter Perry | Physician Assistant | Physicians Group Services Pa | 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073-4592 |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Patrick J Burns | Interventional Pain Management | Physicians Group Services Pa | 2700 Riverside Ave, Suite 2, Jacksonville, FL 32205-8233 |
| Street Address |
1564 KINGSLEY AVE SUITE 300 |
| City | ORANGE PARK |
| State | FL |
| Zip | 32073-4521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Neway Iii | Orthopedic Surgery | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Scott N Schimpff | Pain Management | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Christopher Robert Manees | Pain Management | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Richard Gamiz | Physician Assistant | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Kenneth A Powell | Pain Management | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahman Karimi | Internal Medicine | Mcci Group Holdings LLC | 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202 |
| Carlos R Villa | Optometry | Myeyedr Optometry of Florida, LLC | 28 Blanding Blvd, Orange Park, FL 32073-2202 |
| Robert Morris | Chiropractic | 1871 Wells Rd, Orange Park, FL 32073-2351 | |
| Ali Tabatabai | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Darren R Blom | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Shaila N Williston | Family Practice | 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374 | |
| Joseph N Salameh | Chiropractic | Jns Physicians Group LLC | 1700 Wells Rd, Orange Park, FL 32073-2374 |
| Marcus Decarvalho | Psychiatry | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Blake Bazel | Psychologist, Clinical | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Hewell B Eaves | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Find all physicians in zip 32073 | |||
| City | ORANGE PARK |
| Zip Code | 32073 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | ORANGE PARK + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Renee A Gallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.