Individual
DR. GAVIN CHARLES WHAPSHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1720 E VENICE AVE, 1ST FLOOR, VENICE, FL 34292-3190
(941) 483-9700
(941) 483-9715
Mailing address
1720 E VENICE AVE, 1ST FLOOR, VENICE, FL 34292-3190
(941) 483-9700
(941) 483-9715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116025236
VA
207Q00000X
Family Medicine Physician
Primary
OS12953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS12953
STATE LICENSE
FL
Enumeration date
07/07/2012
Last updated
09/14/2020
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