Provider Demographics
NPI:1538216551
Name:GALES, FRANCES MARIANNA
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARIANNA
Last Name:GALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 4TH PL
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-1333
Mailing Address - Country:US
Mailing Address - Phone:772-778-2984
Mailing Address - Fax:772-778-2984
Practice Address - Street 1:2250 4TH PL
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-1333
Practice Address - Country:US
Practice Address - Phone:772-778-2984
Practice Address - Fax:772-778-2984
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171M00000X, 171M00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator