GERALD J GALLENTINE , OD in TAMPA - NPI - 1164417556
GERALD J GALLENTINE is a dentist based out of TAMPA,Florida GERALD practices in TAMPA,Florida and has the professional credentials of OD .The NPI Number for GERALD J GALLENTINE is 1164417556 and he holds a Licence No. OP1270(Florida).
GERALD current practice location address is 5125 N RIVER BLVD,,TAMPA,Florida and he can be reached out via phone at 8138395399 and via fax at8138313911. You can also correspond with GERALD J GALLENTINE through mail at his mailing address at3338 S DALE MABRY HWY,,TAMPA,Florida – 336297840 (mailing address contact number – 336031941).
Provider Profile Details
| NPI Number | 1164417556 |
| Provider Name | GERALD J GALLENTINE |
| OD | |
| Gender | 39271 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 152W00000X |
| Last Update Date | 38608 |
Provider Business Mailing Address Details
| Address | 5125 N RIVER BLVD, |
| City | TAMPA |
| State | Florida |
| Zip | 336031941 |
| Phone Number | 8132374906 |
Provider Business Practice Location Address Details
| Address | 3338 S DALE MABRY HWY, |
| City | TAMPA |
| State | Florida |
| Zip | 336297840 |
| Phone Number | 8138395399 |
Provider's Primary Taxonomy Details
| Taxonomy | 152W00000X |
| License No. | OP1270 |
| State | Florida |