# MICHAEL A GARVIN, DPM, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457391047
- **Authorized official:** DR. MICHAEL ALLEN GARVIN DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (772) 335-7171

## Contact information

- **Practice address:** 1791 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
- **Practice address phone:** (772) 335-7171
- **Practice address fax:** (772) 335-2119
- **Mailing address:** 1791 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
- **Mailing address phone:** (772) 335-7171
- **Mailing address fax:** (772) 335-2119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 03/14/2014
