Garvin, Michael Allen

Garvin, Michael Allen is an individual health care provider with primary practice located at 1791 Se Port St Lucie Blvd , Port St Lucie FL 34952-5479. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Garvin, Michael Allen can be contacted via phone (772) 335-7171.

Contact Information

Primary practice address
1791 Se Port St Lucie Blvd Port St Lucie FL 34952-5479
Phone: (772) 335-7171
Fax: (772) 335-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1984 Florida

Profile Details

NPI number 1013957166
LBN Legal business name Garvin, Michael Allen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013957166 NPPES
Florida MEDICAID 052018700

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