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Individual

GRACIELA R. GARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15681 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4123
(239) 437-1977
(239) 437-1889
Mailing address
1860 BOY SCOUT DR STE 201, FORT MYERS, FL 33907-2119
(239) 215-1180
(239) 215-1179

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0054297
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103652200
FL
01
LF565
MEDICARE
FL
Enumeration date
07/05/2005
Last updated
01/09/2020
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