DR. DAVID NICHOLAS GAVIN (NPI# 1871541680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871541680 |
| Entity Type | Individual |
| Full Name | DR. DAVID NICHOLAS GAVIN |
| Credential | DPM |
| Practice Address |
15620 Mcgregor Blvd., Suite 125 Fort Myers FL 33908-2528 |
| Practice Telephone | 2398874621 |
| Practice Fax Number | 2398874623 |
| Mailing Telephone | 2398874621 |
| Mailing Fax Number | 2398874623 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1528 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 041244900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861682866 | David Peter Gavin | Psychiatry & Neurology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-07-26 |
| 1124137260 | David Thomas Gavin | Pharmacist | 5820 Westown Pkwy, West Des Moines, IA 50266-8223 | 2006-08-30 |
| Street Address |
15620 MCGREGOR BLVD., SUITE 125 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326573940 | Sahiba Singh | Podiatrist | 6846 International Center Blvd Ste B, Fort Myers, FL 33912-7155 | 2017-04-21 |
| 1689113409 | Apex Foot & Ankle Center, LLC | Podiatrist | 8100 Arbor Ct, Second Floor Building A, Fort Myers, FL 33908-2865 | 2017-02-13 |
| 1528435807 | Burg Foot & Ankle Pa | Podiatrist | 12681 New Brittany Blvd, Bldg 1e, Fort Myers, FL 33907-3631 | 2015-08-21 |
| 1912309030 | Foot Ankle&lower Leg Surgical Group LLC | Podiatrist | 35 Barkley Cir Ste 2, Fort Myers, FL 33907-7601 | 2014-09-19 |
| 1417298597 | Michael James Wilkins | Podiatrist | 5238 Mason Corbin Ct Ste 102, Fort Myers, FL 33907 | 2013-03-14 |
| 1578792339 | Soorena Sadri | Podiatrist | 4956 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2009-07-14 |
| 1093963449 | Eric Stephen Trathen | Podiatrist | 12630 World Plaza Ln, Suite 70, Fort Myers, FL 33907-3987 | 2008-08-28 |
| 1942378724 | Gregory C Spain | Podiatrist | 11323 Reflection Isles Blvd, Fort Myers, FL 33912 | 2006-12-01 |
| 1437153236 | Brian K Doerr | Podiatrist | 14391 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4421 | 2005-06-09 |
| 1346243748 | Hal Leslie Bozof | Podiatrist | 2540 Winkler Ave, Ste 2, Fort Myers, FL 33901-9338 | 2005-05-31 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on DR. DAVID NICHOLAS GAVIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.