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Organization

MICHAEL A GARVIN DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MADDY VALDES (BILLING MANAGER)
(772) 335-7171
Entity
Organization

Contact information

Practice address
320 NW BETHANY DR, PORT SAINT LUCIE, FL 34986-3578
(772) 871-6020
Mailing address
1791 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952
(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
01
0533320004
PALMETTO DME
FL
Enumeration date
04/19/2007
Last updated
10/26/2021
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