Individual
DR. SONAL G GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 DEERWOOD LAKE PKWY STE 101-232, JACKSONVILLE, FL 32216-1177
(904) 513-8747
Mailing address
8312 HEDGEWOOD DR, JACKSONVILLE, FL 32216-1489
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME88364
FL
2084P0804X
Child & Adolescent Psychiatry Physician
104762
MT
2084P0804X
Child & Adolescent Psychiatry Physician
ME88364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267889600
—
FL
Enumeration date
08/20/2006
Last updated
08/10/2022
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