Gavan, Rosemary

Gavan, Rosemary is an individual health care provider with primary practice located at 808 Highway 466 , Lady Lake FL 32159-3918. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gavan, Rosemary can be contacted via phone (352) 751-0040.

Contact Information

Primary practice address
808 Highway 466 Lady Lake FL 32159-3918
Phone: (352) 751-0040
Fax: (352) 751-2825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X APRN1376272 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1376272 Florida

Profile Details

NPI number 1295872083
LBN Legal business name Gavan, Rosemary
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 30th, 2020 - about 4 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 1295872083 NPPES
Florida MEDICAID 001250200

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