Individual
AMITABH GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8936 77TH TER E UNIT 101, LAKEWOOD RANCH, FL 34202-6419
(941) 923-2500
Mailing address
8936 77TH TER E UNIT 101, LAKEWOOD RANCH, FL 34202-6419
(941) 923-2500
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
24943
KS
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME77381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100422340A
—
KS
Enumeration date
06/25/2006
Last updated
10/06/2022
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