Organization Active NPI

Garrovillo Surgical Care LLC

  • Surgery Physician
  • Davenport, FL
National Provider Identifier
1336346246
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME88733 Issued in FL
Legal business name
GARROVILLO SURGICAL CARE LLC
Practice address
111 Webb Dr
Suite 3
Davenport, FL 33837-3944
Phone
(863) 421-5216
Fax
(863) 422-8476
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mel F. Garrovillo, M.D.
Title
President
Phone
(863) 421-5216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME88733 FL Primary

Addresses

Primary practice location

111 Webb Dr
Suite 3
Davenport, FL 33837-3944

Mailing address

PO Box 130
Suite 3
Davenport, FL 33836-0130
Phone (863) 421-5216

National Provider Directory

National Provider Directory

Locations

111 Webb Dr
Ste 3
Davenport, FL 33837
Phone (863) 421-5216

101 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (352) 362-4223

111 Webb Dr
Davenport, FL 33837
Phone (863) 421-9447

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1336346246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "SUITE 3",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360130",
            "telephone_number": "863-421-5216",
            "fax_number": "863-422-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEBB DR",
            "address_2": "SUITE 3",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373944",
            "telephone_number": "863-421-5216",
            "fax_number": "863-422-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARROVILLO SURGICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GARROVILLO",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-421-5216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME88733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.