Individual
DR. BRYAN DAVID GARRUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Mailing address
6739 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
(813) 779-3338
(813) 779-3318
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME91515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006-01089
STATE LICENSE
NC
01
—
ME91515
STATE MEDICAL LICENSE
FL
01
—
P01197322
RR MEDICARE
FL
Enumeration date
07/12/2006
Last updated
03/07/2023
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