Individual provider Active NPI

Abigail Grace Galiardo, APRN

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1770466385
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041247 Issued in FL
Practice address
1105 Thunder TRL
Maitland, FL 32751-4043
Phone
(610) 703-0422
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11041247 FL Primary

Addresses

Primary practice location

1105 Thunder TRL
Maitland, FL 32751-4043

Mailing address

1105 Thunder TRL
Maitland, FL 32751-4043
Phone (610) 703-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015003791 FL Practitioner - Nurse Practitioner 9931696671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parks Dermatology Center LLCGroup PAC ID 7315985686, 17 clinicians

Practice addresses (Care Compare)

1175 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4745
Phone 3866779044305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11041247FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Dermatology Center LLC CurrentSince Sep 25, 2025 Accepting new patients

Locations

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 677-9044

37 Old Kings Rd N
Palm Coast, FL 32137
Phone (386) 445-1100

1175 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 316-8092

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1770466385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 THUNDER TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514043",
            "telephone_number": "610-703-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 THUNDER TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514043",
            "telephone_number": "610-703-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIARDO",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.