Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164608956 Deactivated / Inactive NPI Male Practitioner

Dr. Charles B Galloway , MD

General Practice • Longwood, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Galloway has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2008
NPI Deactivation Date December 04, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Galloway, MD was a registered General Practice practicing in Longwood, FL. Throughout an active medical career spanning 17 years, Dr. Galloway provided care at the practice location at 2648 W STATE ROAD 434 until profile deactivation on 2025-12-04.

Practice Location & Contact Primary Location

Practice Address

2648 W State Road 434
Suite C

Longwood, FL 327794440

Telephone 4077887778
Fax 4077887770
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Longwood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Longwood, FL (2490 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME47838

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Julissa Manzzo , LMT

Massage Therapist

NPI 1316187396

Licensed Massage Therapist

Dr. Jerold Fadem , MD

General Practice

NPI 1356482061

Doctor of Medicine (M.D.)

Maloida Breboneria , LMT

Massage Therapist

NPI 1407032923

Licensed Massage Therapist

Holly Morgan , LMT

Massage Therapist

NPI 1477783439

Licensed Massage Therapist

Johnson Blaise , LMT

Massage Therapist

NPI 1518117225

Licensed Massage Therapist

Donny Moon , LMT

Massage Therapist

NPI 1851576052

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2025

Record deactivated on December 04, 2025

NPI Profile Active January 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2008

Registered at 2648 W STATE ROAD 434, SUITE C, LONGWOOD, FL 327794440 (Tel: 4077887778)

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Updated Business Mailing Address January 11, 2008

Registered at 2648 W STATE ROAD 434, SUITE C, LONGWOOD, FL 327794440 (Tel: 4077887778)

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Provider Name / Credentials Updated January 11, 2008

Recorded as CHARLES GALLOWAY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2008

General Practice (License #ME47838 in FL)

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Initial NPI Registration & Enumeration January 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164608956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2008
Last Update: January 11, 2008
Deactivation Date: December 04, 2025

Mailing Address

2648 W State Road 434, Suite C

Longwood, FL 327794440

Phone: 4077887778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.