Organization Active NPI

Gallo Prosthetic & Orthotic Solutions, LLC

  • Prosthetic/Orthotic Supplier
  • Venice, FL
National Provider Identifier
1679801914
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR - 014 Issued in FL
Legal business name
GALLO PROSTHETIC & ORTHOTIC SOLUTIONS, LLC
Practice address
4130 Woodmere Park Blvd
Suite 12
Venice, FL 34293-2206
Phone
(941) 493-4049
Fax
(941) 416-9216
NPI assigned
Nov 25, 2009
Last updated
Oct 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Mr. Brad A Gallo, CPO, LPO
Title
President of Manager
Phone
(941) 493-4049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X POR - 014 FL Primary
Prosthetic/Orthotic Supplier 335E00000X POR - 006 FL

Addresses

Primary practice location

4130 Woodmere Park Blvd
Suite 12
Venice, FL 34293-2206

Mailing address

4130 Woodmere Park Blvd
Suite 12
Venice, FL 34293-2206
Phone (941) 493-4049

National Provider Directory

National Provider Directory

Locations

4130 Woodmere Park Blvd
Ste 12
Venice, FL 34293
Phone (941) 493-4049

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1679801914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 WOODMERE PARK BLVD",
            "address_2": "SUITE 12",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932206",
            "telephone_number": "941-493-4049",
            "fax_number": "941-416-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 WOODMERE PARK BLVD",
            "address_2": "SUITE 12",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932206",
            "telephone_number": "941-493-4049",
            "fax_number": "941-416-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLO PROSTHETIC & ORTHOTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "941-493-4049",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR - 014",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR - 006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.