George G Gavin, PAC

NPI #1376629980 in Umatilla, Florida

Provider Information

NPI Number: 1376629980
Entity Type: Individual
Name: George G Gavin, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 27, 2006
Last Updated: Jun 29, 2010

Practice Location

Address: 390 S CENTRAL AVE
City: Umatilla
State: Florida
ZIP Code: 32784-2325
Phone: (352) 669-3175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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