Gavin, David Nicholas

Gavin, David Nicholas is an sole proprietor health care provider with primary practice located at 15620 Mcgregor Blvd., Suite 125 , Fort Myers FL 33908-2528. 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. Gavin, David Nicholas can be contacted via phone (239) 887-4621.

Contact Information

Primary practice address
15620 Mcgregor Blvd., Suite 125 Fort Myers FL 33908-2528
Phone: (239) 887-4621
Fax: (239) 887-4623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1528 Florida

Profile Details

NPI number 1871541680
LBN Legal business name Gavin, David Nicholas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Sep 27th, 2019 - about 7 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 1871541680 NPPES
Florida MEDICAID 041244900

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