Individual
RUPHLAL ROBERT GOOLJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 CHILDREN'S WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 390-3592
Mailing address
P.O. BOX 5720, JACKSONVILLE, FL 32247-5720
(904) 288-5650
(904) 288-5630
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR15
FL
224P00000X
Prosthetist
Primary
POR15
FL
225000000X
Orthotic Fitter
POR15
FL
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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