Organization
PUTNAM HEART CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH GOEL M.D. (OWNER)
(386) 326-1590
Entity
Organization
Contact information
Practice address
6710 OLD WOLF BAY RD, PALATKA, FL 32177-6830
(386) 326-1590
(386) 326-1591
Mailing address
6710 OLD WOLF BAY RD, PALATKA, FL 32177-6830
(386) 326-1590
(386) 326-1591
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME77178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264957800
—
FL
Enumeration date
08/16/2006
Last updated
12/15/2009
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