Individual
ZACHARY DANIEL GAUVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1524 S EAST AVE, SARASOTA, FL 34239-2324
(941) 365-2422
Mailing address
2523 VINSON AVE, SARASOTA, FL 34232-4119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA29232
FL
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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