Individual
ANITA GOFRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2338 IMMOKALEE RD STE 186, NAPLES, FL 34110
(239) 330-2933
Mailing address
2338 IMMOKALEE RD STE 186, NAPLES, FL 34110-1445
(239) 330-2933
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
232517-1
NY
208M00000X
Hospitalist Physician
Primary
ME136260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243554
—
NY
05
—
197654001
—
TX
01
—
236AA1
MEDICARE
NY
01
—
8K3741
MEDICARE
TX
Enumeration date
07/11/2007
Last updated
09/19/2018
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