Basic Information
Provider Information
NPI: 1316507619
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALILEI
FirstName: WILLIAM
MiddleName: FLOYD
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 575 COPELAND MILL RD STE 1D
Address2:  
City: WESTERVILLE
State: OH
PostalCode: 430818977
CountryCode: US
TelephoneNumber: 6147940481
FaxNumber: 6147943711
Practice Location
Address1: 444 N CLEVELAND AVE STE 130
Address2:  
City: WESTERVILLE
State: OH
PostalCode: 43082
CountryCode: US
TelephoneNumber: 6147940481
FaxNumber: 6147943711
Other Information
ProviderEnumerationDate: 06/18/2019
LastUpdateDate: 07/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN.CNP.025034OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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