| Gavin Psychiatry, Llc | |
|
110 East Broward Blvd. Suite 1700 Fort Lauderdale FL 33301 | |
| (224) 269-2200 | |
| Not Available |
| Full Name | Gavin Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 110 East Broward Blvd., Fort Lauderdale, Florida |
| Authorized Official Name and Position | David Peter Gavin (MEMBER) |
| Authorized Official Contact | 2242692200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Psychiatry, Llc 110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 Ph: (224) 269-2200 | Gavin Psychiatry, Llc 110 East Broward Blvd. Suite 1700 Fort Lauderdale FL 33301 Ph: (224) 269-2200 |
| NPI Number | 1497371843 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 07/19/2021 |
| Certification Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497371843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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