# DR. JAIME SHOUSE GOSSAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275827297
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC5011 | FL | Yes |
| 152W00000X | Optometrist | OPT002668 | GA | — |

## Other

- **Enumeration date:** 06/07/2011
- **Last updated:** 09/27/2021