Gavigan, Malia S

Gavigan, Malia S is an sole proprietor health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3585. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gavigan, Malia S can be contacted via phone (321) 868-5871.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931-3585
Phone: (321) 868-5871
Fax: (321) 868-5852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X APRN11001047 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11001047 Florida

Profile Details

NPI number 1871055350
LBN Legal business name Gavigan, Malia S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2019
Last updated Aug 3rd, 2022 - about 2 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 1871055350 NPPES
Florida MEDICAID 102499500
Florida Other L8207

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