Individual
GUY CARLTON GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6791 58TH AVE N, SAINT PETERSBURG, FL 33709-1407
(727) 541-6004
Mailing address
6791 58TH AVE N, SAINT PETERSBURG, FL 33709-1407
(727) 541-6004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9596
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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