Gavin, David Peter

Gavin, David Peter is an individual health care provider with primary practice located at 110 E Broward Blvd Ste 1700 , Fort Lauderdale FL 33301-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gavin, David Peter can be contacted via phone (224) 269-2200.

Contact Information

Primary practice address
110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500
Phone: (224) 269-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036117672 Illinois

Profile Details

NPI number 1861682866
LBN Legal business name Gavin, David Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jun 29th, 2021 - about 5 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 1861682866 NPPES
Illinois MEDICAID 1861682866

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