Individual
DR. MICHAEL ALLEN GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1791 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 335-7171
(772) 335-2119
Mailing address
1791 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 335-7171
(772) 335-2119
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052018700
—
FL
Enumeration date
06/07/2006
Last updated
04/06/2023
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