Individual
DR. WILLIAM E. GOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 OLD CAMP RD STE 192, THE VILLAGES, FL 32162-5605
(352) 751-5514
(352) 753-1276
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7105
(407) 770-0594
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME30269
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061502100
—
FL
01
—
92811
BLUE SHIELD OF FL
FL
Enumeration date
06/10/2006
Last updated
04/26/2013
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