Individual
HEIDI GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
114 AVERY LAKE DR, WINTER SPRINGS, FL 32708-5186
(407) 312-4133
(877) 980-1981
Mailing address
114 AVERY LAKE DR, WINTER SPRINGS, FL 32708-5186
(407) 312-4133
(877) 980-1981
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
PT 16192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681637196
—
FL
05
—
886448900
—
FL
Enumeration date
05/02/2006
Last updated
09/13/2016
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