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NPI Code Detail

MEDICARE: DR. JUAN GALVAN MD

MEDICARE: DR. JUAN GALVAN 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
1208D00000XGeneral Practice PhysicianACN1341FL

Other Identifiers

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

General Provider Information

NPI Number : 1801381538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN GALVAN MD
Provider Business Mailing Address
First Line : 5400 PINEHURST DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-3833
Country : US
Telephone Number : 352-277-5305
Fax Number : 352-616-0926
Provider Business Practice Location Address
First Line : 6279 N LECANTO HWY
Second Line :
City : BEVERLY HILLS
State : FL
Zip : 34465-2503
Country : US
Telephone Number : 352-522-0094
Fax Number : 352-522-0098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 11/23/2022

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Directions to “ DR. JUAN GALVAN MD” Practice Location

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