Provider Demographics
NPI:1144648304
Name:GILDA GARRATON,OD, INC.
Entity type:Organization
Organization Name:GILDA GARRATON,OD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRATON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-227-2770
Mailing Address - Street 1:5976 CORAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3302
Mailing Address - Country:US
Mailing Address - Phone:954-227-2770
Mailing Address - Fax:
Practice Address - Street 1:5976 CORAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3302
Practice Address - Country:US
Practice Address - Phone:954-227-2770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 2731302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization