Individual provider · NPI-1

Dr. Edel Alvarez Galban, M.D.

General Practice · Clearwater, FL

NPI number1477930501
StatusActive
Last updated in NPPESNov 3, 2021

Details

NPI
1477930501
Entity type
Individual (NPI-1)
Name
Dr. Edel Alvarez Galban
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2015
Certification date
Nov 3, 2021
Last updated
Nov 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeACN652FLYes

Practice location

2878 Roosevelt Blvd
Clearwater, FL 33760-1923

Phone 727-474-3442 · Fax 727-474-3648

Mailing address

5512 18th St Ne
St Petersburg, FL 33703-1731

Phone 813-453-7931

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