Active NPI
Judith Spring Gallagher, P.A.
- Medical Physician Assistant
- Lauderdale Lakes, FL
National Provider Identifier
1710963129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101225
- Practice address
- 2957 NW 27TH St
Lauderdale Lakes, FL 33311-2040 - Phone
- (954) 730-2333
- Fax
- (954) 730-2337
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9101225 | FL | Primary |
Addresses
Primary practice location
2957 NW 27TH St
Lauderdale Lakes, FL 33311-2040
Mailing address
PO Box 2277
Miami Beach, FL 33140-2277
Phone (954) 581-5206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710963129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2277",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402277",
"telephone_number": "954-581-5206",
"fax_number": "954-730-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2957 NW 27TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333112040",
"telephone_number": "954-730-2333",
"fax_number": "954-730-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JUDITH",
"middle_name": "SPRING",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.