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Individual

DR. GARY ANTON GOERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1309 53RD AVE W, BRADENTON, FL 34207-2862
(941) 755-7700
Mailing address
PO BOX 61593, FORT MYERS, FL 33906-1593
(941) 536-3356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007167
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH0007167
LICENSE
FL
Enumeration date
05/09/2007
Last updated
03/11/2011
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