Individual
DR. ARCHANA GUPTA GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1660 PRUDENTIAL DR, SUITE 310, JACKSONVILLE, FL 32207-8197
(904) 396-8656
(904) 396-5931
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME73785
FL
207RR0500X
Rheumatology Physician
Primary
ME73785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000771493A
—
GA
05
—
2533359-00
—
FL
Enumeration date
03/28/2006
Last updated
12/18/2018
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