Individual
MR. SAMUEL J GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1879 NIGHTINGALE LANE, SUITE C1, TAVARES, FL 32778
(352) 742-1171
(352) 742-7241
Mailing address
1879 NIGHTINGALE LANE, SUITE C1, TAVARES, FL 32778
(352) 742-1171
(352) 742-7241
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0506997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378286700
—
FL
Enumeration date
07/05/2006
Last updated
04/30/2013
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