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Organization
PIONEER MEDICAL CENTER LLP
Active
Organization
PIONEER MEDICAL CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY STEPHEN GOSSMAN PHYSICIAN ASSISTANT (PARTNER)
(863) 773-6606
Entity
Organization
Contact information
Practice address
515 CARLTON STREET, WAUCHULA, FL 33873
(863) 773-6606
(863) 773-9542
Mailing address
515 CARLTON STREET, WAUCHULA, FL 33873
(863) 773-6606
(863) 773-9542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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