Gavin, David Peter
Gavin, David Peter is an individual health care provider with primary practice located at 110 E Broward Blvd Ste 1700 , Fort Lauderdale FL 33301-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gavin, David Peter can be contacted via phone (224) 269-2200.Contact Information
Primary practice address
110 E Broward Blvd Ste 1700
Fort Lauderdale FL 33301-3500
Phone: (224) 269-2200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036117672 | Illinois |
Profile Details
NPI number | 1861682866 |
---|---|
LBN Legal business name | Gavin, David Peter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2007 |
Last updated | Jun 29th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861682866 | NPPES |
Illinois | MEDICAID | 1861682866 |
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