Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 106034 | NY |
NPI | 1154563997 |
---|---|
Provider Name | Dr. Stephen Michael Garramone |
First Address | Melbourne, FL 32940-6886 |
Second Address | Melbourne, FL 32940-6886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2009 |
Last Update Date | 28/05/2021 |