Gerald R Goss D.o., P.a. | |
1713 Foxbower Rd Orlando FL 32825-6506 | |
(407) 277-7671 | |
(407) 277-7326 |
Full Name | Gerald R Goss D.o., P.a. |
---|---|
Speciality | Family Medicine |
Location | 1713 Foxbower Rd, Orlando, Florida |
Authorized Official Name and Position | Gerald R Goss (DR) |
Authorized Official Contact | 4072777671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gerald R Goss D.o., P.a. 1713 Foxbower Rd Orlando FL 32825-6506 Ph: (407) 277-7671 | Gerald R Goss D.o., P.a. 1713 Foxbower Rd Orlando FL 32825-6506 Ph: (407) 277-7671 |
NPI Number | 1730351362 |
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Provider Enumeration Date | 03/24/2008 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730351362 | NPI | - | NPPES |
81231 | Other | FL | BLUE CROSS BLUE SHIELD FL |
10829 | Other | FL | FL HOSP HEALTHCARE SYSTEM |
046391400 | Medicaid | FL | |
014743136 | Other | GA | PALMETTO GBA RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS0001386 (Florida) | Primary |
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