Individual
DR. BRYAN DAVID GARRUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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