MEDICARE: DR. ROBIN WILLIAM GARVIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME80263	FL

General Provider Information

NPI Number	:	1558376319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN WILLIAM GARVIN MD

Provider Business Mailing Address
First Line	:	2055 S US HIGHWAY 1
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32962-7206
Country	:	US
Telephone Number	:	772-794-0030
Fax Number	:	772-794-0379

Provider Business Practice Location Address
First Line	:	1109 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-232-1156
Fax Number	:	772-232-1161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	07/08/2007

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