Individual
JACQUELINE GARAVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 26TH AVE E, BRADENTON, FL 34208-7707
(994) 170-8860
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME146653
FL
Other
Enumeration date
04/03/2017
Last updated
10/04/2022
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