MALIA S GAVIGAN

COCOA BEACH, FL
NPI1871055350
Former NameMALIA S FLORES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11001047)
Additional Taxonomies208M00000X Hospitalist
(Licence: FL  APRN11001047)
Enumeration Date2019-04-03
Last Update Date2022-08-03
Business Address
MALIA S GAVIGAN APRN
701 W COCOA BEACH CSWY
COCOA BEACH, FL 32931-3585
Phone number: 321-868-5871
Mailing Address
MALIA S GAVIGAN APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-434-1771