Gavigan, Michael Scott

Gavigan, Michael Scott is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Gavigan, Michael Scott can be contacted via phone (321) 434-8121.

Contact Information

Primary practice address
1425 Malabar Rd Ne Palm Bay FL 32907-2506
Phone: (321) 434-8121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X APRN11000603 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11000603 Florida

Profile Details

NPI number 1184195083
LBN Legal business name Gavigan, Michael Scott
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated May 17th, 2024 - about 2 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 1184195083 NPPES
Florida MEDICAID 025119800
Florida Other KS071

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