Individual
DR. IMMANUEL ISHMAEL GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2905 EGRET WALK TER S, JACKSONVILLE, FL 32226-4474
(904) 803-1673
Mailing address
PO BOX 26092, JACKSONVILLE, FL 32226-6092
(904) 803-1673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15083
FL
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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