Organization Active NPI

Galo Constante MD PA

  • Primary Care Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1437316890
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
P03000075881 Issued in FL
Legal business name
GALO CONSTANTE MD PA
Practice address
12400 Brantley Commons CT
Suite 1
Fort Myers, FL 33907-5663
Phone
(239) 275-9040
Fax
(239) 275-9070
NPI assigned
May 21, 2008
Last updated
Jul 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Galo F Constante, MDNPI 1790768463
Title
Owner
Phone
(239) 275-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X P03000075881 FL Primary

Addresses

Primary practice location

12400 Brantley Commons CT
Suite 1
Fort Myers, FL 33907-5663

Mailing address

PO Box 60533
Fort Myers, FL 33906-6533
Phone (239) 275-9040

Other names 1

  • Constante Family Practice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090501000057 FL Part B Supplier - Clinic/Group Practice 6608924618 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1016656Constante Family Practice12400 Brantley Commons CT Ste 1, Fort Myers, FL 33907Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Locations

12400 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 265-3451

12400 Brantley Commons Ct
Ste 1
Fort Myers, FL 33907
Phone (239) 275-9040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1437316890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60533",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339066533",
            "telephone_number": "239-275-9040",
            "fax_number": "239-275-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 BRANTLEY COMMONS CT",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "239-275-9040",
            "fax_number": "239-275-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALO CONSTANTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "CONSTANTE",
        "authorized_official_first_name": "GALO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-275-9040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "P03000075881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Constante Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.