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Organization
SOZARAGROUPLLC
Active
Organization
SOZARAGROUPLLC
Active
Other names
Sozara Health and Longevity
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN M GOODSON FNP-BC (PARTNER/ CLINIC DIRECTOR)
(904) 887-4951
Entity
Organization
Contact information
Practice address
54 LOS LAGOS BLVD, PALM COAST, FL 32137-2323
(904) 887-4951
Mailing address
54 LOS LAGOS BLVD, PALM COAST, FL 32137-2323
(904) 887-4951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2026
Last updated
08/28/2026
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