Healthcare Provider Details

I. General information

NPI: 1144147018
Provider Name (Legal Business Name): GAVIN THOMAS ERDMANN BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1656 MEDICAL BLVD STE 201
NAPLES FL
34110-1423
US

IV. Provider business mailing address

20580 W GOLDEN ELM DR UNIT 8
ESTERO FL
33928-3498
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-6201
  • Fax:
Mailing address:
  • Phone: 832-525-8741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9594680
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: