Provider Demographics
NPI:1700681921
Name:GALVAN, JOEL (RN)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:GALVAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 LOW COUNTRY PL
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7425
Mailing Address - Country:US
Mailing Address - Phone:941-979-1772
Mailing Address - Fax:
Practice Address - Street 1:27511 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6982
Practice Address - Country:US
Practice Address - Phone:352-834-1399
Practice Address - Fax:949-561-4765
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9678164163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse