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Individual

DR. DAVID NICHOLAS GAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
15620 MCGREGOR BLVD., SUITE 125, FORT MYERS, FL 33908-2528
(239) 887-4621
(239) 887-4623
Mailing address
15620 MCGREGOR BLVD., SUITE 125, FORT MYERS, FL 33908-2528
(239) 887-4621
(239) 887-4623

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041244900
FL
Enumeration date
05/04/2006
Last updated
09/27/2019
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