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Individual

DR. CLIFTON L GOOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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