Organization Active NPI

Michael a Garvin, DPM, PA

  • Durable Medical Equipment & Medical Supplies
  • Port St Lucie, FL
National Provider Identifier
1831146992
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHAEL A GARVIN, DPM, PA
Practice address
320 NW Bethany Dr
Port St Lucie, FL 34986-3578
Phone
(772) 871-6020
Fax
(772) 871-5967
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Allen Garvin, DPM
Title
Owner/Physician
Phone
(772) 335-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

320 NW Bethany Dr
Port St Lucie, FL 34986-3578

Mailing address

1791 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5479
Phone (772) 335-7171

National Provider Directory

National Provider Directory

Locations

530 W Sagamore Ave
Bldg B
Clewiston, FL 33440
Phone (863) 902-3086

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1831146992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-7171",
            "fax_number": "772-335-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NW BETHANY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863578",
            "telephone_number": "772-871-6020",
            "fax_number": "772-871-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A GARVIN, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-335-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.