Shoal, Gavin D

Shoal, Gavin D is an individual health care provider with primary practice located at 619 S Marion Ave Unit 9, Lake City FL 32025-5808. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shoal, Gavin D can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Unit 9 Lake City FL 32025-5808
Phone: (386) 755-3016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7393 Florida

Profile Details

NPI number 1699862011
LBN Legal business name Shoal, Gavin D
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 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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