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Individual

JAMES T GO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2290 W EAU GALLIE BLVD, SUITE 110, MELBOURNE, FL 32935-3133
(321) 421-7555
(321) 421-7553
Mailing address
2200 W EAU GALLIE BLVD, SUITE 200, MELBOURNE, FL 32935-3165
(321) 421-7555
(321) 421-7553

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME71061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040014966
RAIL ROAD MEDICARE
05
251059600
FL
Enumeration date
03/02/2006
Last updated
05/19/2015
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