Gavin, Derek Lawrence

Gavin, Derek Lawrence is an individual health care provider with primary practice located at 13015 Summerfield Square Dr , Riverview FL 33578-7402. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Gavin, Derek Lawrence can be contacted via phone (813) 879-8045.

Contact Information

Primary practice address
13015 Summerfield Square Dr Riverview FL 33578-7402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY 2034 Florida

Profile Details

NPI number 1821446501
LBN Legal business name Gavin, Derek Lawrence
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Jun 27th, 2022 - 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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