Organization Name: | MICHAEL A GARVIN DPM PA |
NPI Number: | 1689893935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL PASINSKI (BILLING MANAGER) |
Mailing Address: | 530 W Sagamore Ave Clewiston |
State: | FL US |
Postal Code: | 334403514 |
Phone Number: | 8639023086 |
Fax Number: | 8633570424 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |