Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gavin Nicholas Van Staden, MD

Individual provider Family Medicine Physician · NPI 1841380433

Gavin Nicholas Van Staden, MD is a Family Practice in Maitland, Florida. Qualified in 1996, 30 years ago. Practices with The University of Central Florida Board of Trustees, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

402 Lake Howell Rd
Maitland, FL 32751-5907
Phone: (407) 628-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME163077 (FL)

Record details

NPI number1841380433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address402 Lake Howell Rd, Maitland, FL 32751-5907

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice The University Of Central Florida Board Of Trustees — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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