Provider Demographics
NPI:1649618760
Name:GARY E SAVILL, PH.D., LLC
Entity type:Organization
Organization Name:GARY E SAVILL, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAVILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:941-586-6880
Mailing Address - Street 1:1828 MOVA ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-7718
Mailing Address - Country:US
Mailing Address - Phone:941-586-6880
Mailing Address - Fax:941-894-1105
Practice Address - Street 1:1828 MOVA ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-7718
Practice Address - Country:US
Practice Address - Phone:941-586-6880
Practice Address - Fax:941-894-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7528314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility