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Individual

DR. JOHN M GOOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2955 BROWNWOOD BLVD STE 303, THE VILLAGES, FL 32163-2040
(352) 350-8484
(352) 751-9850
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 938-2020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
30264
KY
207W00000X
Ophthalmology Physician
Primary
ME123220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100286250
KY
Enumeration date
01/09/2006
Last updated
04/11/2023
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