MICHAEL SCOTT GAVIGAN

PALM BAY, FL
NPI1184195083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  APRN11000603)
Additional Taxonomies208M00000X Hospitalist
(Licence: FL  APRN11000603)
Enumeration Date2018-12-17
Last Update Date2024-05-17
Business Address
Mr. MICHAEL SCOTT GAVIGAN APRN
1425 MALABAR RD NE
PALM BAY, FL 32907-2506
Phone number: 321-434-8121
Mailing Address
Mr. MICHAEL SCOTT GAVIGAN APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-434-8121