Individual
DEREK LAWRENCE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
13015 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 879-8045
Mailing address
13015 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 879-8045
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 2034
FL
Other
Enumeration date
06/02/2016
Last updated
06/27/2022
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