Healthcare Provider Details

I. General information

NPI: 1831205632
Provider Name (Legal Business Name): CHERYL L. GARGANTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

750 WASHINGTON ST NEMC BOX 836
BOSTON MA
02111-1526
US

V. Phone/Fax

Practice location:
  • Phone: 352-627-9350
  • Fax: 352-273-9054
Mailing address:
  • Phone: 617-636-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number80976
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207SG0202X
TaxonomyClinical Biochemical Genetics Physician
License NumberME120970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: