| Doctor Name: | DR. MICHAEL ALLEN GARVIN |
| NPI Number: | 1013957166 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO1984 |
| Business Practice Address: | 1791 Se Port St Lucie Blvd Port St Lucie, FL - 349525479 |
| Business Phone Number: | 7723357171 |
| Business Fax Number: | 7723352119 |
| Mailing Address: | 1791 Se Port St Lucie Blvd, PORT ST LUCIE |
| State: | FL |
| Postal Code: | 349525479 |
| Phone Number: | 7723357171 |
| Fax Number: | 7723352119 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO1984 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |