Individual
MRS. LISA A GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD,PA
Contact information
Practice address
2717 N WICKHAM RD, SUITE 1, MELBOURNE, FL 32935-2200
(321) 242-2766
(321) 242-2463
Mailing address
2717 N WICKHAM RD, SUITE 1, MELBOURNE, FL 32935-2200
(321) 242-2766
(321) 242-2463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0012699
FL
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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