Individual
SAMANTHA GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RHD
Contact information
Practice address
9059 NW 35TH PL, SUNRISE, FL 33351-6437
(754) 368-0895
Mailing address
9059 NW 35TH PL, SUNRISE, FL 33351-6437
(754) 368-0895
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND5011
FL
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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