Individual
DR. JENNIFER G GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME139013
FL
208D00000X
General Practice Physician
Primary
ME139013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102640500
—
FL
Enumeration date
05/20/2006
Last updated
11/12/2019
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