Individual provider · Type 1 NPI

Gavin Douglas Divertie, MD

Critical Care Medicine (Internal Medicine) Physician · Jacksonville, FL

NPI number 1073500369 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200XME54277 (FL)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1073500369

Gavin Douglas Divertie, MD's National Provider Identifier is 1073500369, issued on Oct 1, 2005. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 17, 2026.