Individual
GOOSMAN SAINTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10497 SW TIBRE CT, PORT SAINT LUCIE, FL 34987-2347
(772) 626-7531
Mailing address
10497 SW TIBRE CT, PORT SAINT LUCIE, FL 34987-2347
(772) 626-7531
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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