Healthcare Provider Details

I. General information

NPI: 1437128121
Provider Name (Legal Business Name): JANE M MCGARVEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N MYRTLE AVE
CLEARWATER FL
33755-4431
US

IV. Provider business mailing address

2051 GROVE VALLEY AVE
PALM HARBOR FL
34683-3222
US

V. Phone/Fax

Practice location:
  • Phone: 727-469-5800
  • Fax: 727-298-2322
Mailing address:
  • Phone: 727-787-6876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number2176372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: