Active NPI
Garrovillo Surgical Care LLC
- Surgery Physician
- Davenport, FL
National Provider Identifier
1336346246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME88733
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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.