Provider Demographics
NPI:1558376319
Name:GARVIN, ROBIN WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:WILLIAM
Last Name:GARVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2055 S US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-7206
Mailing Address - Country:US
Mailing Address - Phone:772-794-0030
Mailing Address - Fax:772-794-0379
Practice Address - Street 1:1109 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4707
Practice Address - Country:US
Practice Address - Phone:772-232-1156
Practice Address - Fax:772-232-1161
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME80263207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE6373Medicare UPIN
FL49802Medicare ID - Type Unspecified