Individual
DR. CLIFTON L GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2062
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
ME101446
FL
2084N0400X
Neurology Physician
ME101446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281114600
—
FL
01
—
31821
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/30/2006
Last updated
03/31/2025
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