Individual
KRYSTA GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
3146 LITTLE RD, TRINITY, FL 34655-1864
(727) 807-5694
Mailing address
3146 LITTLE RD, TRINITY, FL 34655-1864
(727) 807-5694
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS5114
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/05/2020
Last updated
01/31/2024
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