# MICHAEL A GARVIN DPM PA

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

## Provider details

- **NPI number:** 1659623700
- **Authorized official:** DR. MICHAEL ALLEN GARVIN DPM (PHYSICIAN)
- **Authorized official phone:** (772) 335-7171

## Contact information

- **Practice address:** 3405 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4439
- **Practice address phone:** (772) 335-7171
- **Mailing address:** 1791 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
- **Mailing address phone:** (772) 335-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO1984 | FL | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/15/2012