Individual
MR. MICHAEL SCOTT GAVIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1314 OAK ST, MELBOURNE, FL 32901
(321) 727-7992
(321) 727-7664
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8121
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
APRN11000603
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11000603
FL
363LF0000X
Family Nurse Practitioner
APRN11000603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025119800
—
FL
01
—
KS071
MEDICARE
FL
Enumeration date
12/17/2018
Last updated
01/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us