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Organization

GARROVILLO SURGICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEL F. GARROVILLO M.D. (PRESIDENT)
(863) 421-5216
Entity
Organization

Contact information

Practice address
111 WEBB DR, SUITE 3, DAVENPORT, FL 33837-3944
(863) 421-5216
(863) 422-8476
Mailing address
PO BOX 130, SUITE 3, DAVENPORT, FL 33836-0130
(863) 421-5216
(863) 422-8476

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME88733
FL

Other

Enumeration date
07/03/2007
Last updated
10/02/2007
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