Individual
GRACE GOEHRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6595 S FLORIDA AVE, LAKELAND, FL 33813-3316
(863) 644-1098
Mailing address
17909 BURNSIDE RD, LUTZ, FL 33548-4438
(605) 848-1568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1597
SD
Other
Enumeration date
10/15/2024
Last updated
10/16/2025
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