MEDICARE: DR. BELINDA GAVINO M.D

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	4301500706	MI
2	207Q00000X	Family Medicine Physician	ME118534	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750711636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELINDA GAVINO M.D

Provider Business Mailing Address
First Line	:	6325 US HIGHWAY 27 N STE 201
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-8226
Country	:	US
Telephone Number	:	863-382-9600
Fax Number	:	863-382-0107

Provider Business Practice Location Address
First Line	:	6325 US HIGHWAY 27 N STE 201
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-8226
Country	:	US
Telephone Number	:	863-382-9600
Fax Number	:	863-382-0107

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

Provider Enumeration Date	:	11/14/2013
Last Update Date	:	12/06/2024

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