MEDICARE: RALPH GARRAMONE MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	ME75131	FL

General Provider Information

NPI Number	:	1962775353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH GARRAMONE MD PA

Provider Business Mailing Address
First Line	:	12998 S CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3849
Country	:	US
Telephone Number	:	239-482-1900
Fax Number	:	239-437-0433

Provider Business Practice Location Address
First Line	:	12998 S CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3849
Country	:	US
Telephone Number	:	239-482-1900
Fax Number	:	239-437-0433

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RALPH RONALD GARRAMONE
Credential	:	MD
Telephone Number	:	239-482-1900

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	10/07/2014

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