Healthcare Provider Details

I. General information

NPI: 1760408074
Provider Name (Legal Business Name): JAMES EDWARD GALVIN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 10/16/2023
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 CAMINO REAL STE 200
BOCA RATON FL
33433-5576
US

IV. Provider business mailing address

7700 CAMINO REAL STE 200
BOCA RATON FL
33433-5576
US

V. Phone/Fax

Practice location:
  • Phone: 561-869-6808
  • Fax:
Mailing address:
  • Phone: 561-869-6808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberME124945
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: