Organization
CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA
Active
Organization
CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J GOSS D.O. (PRESIDENT)
(352) 742-1171
Entity
Organization
Contact information
Practice address
1879 NIGHTINGALE LANE, SUITE C-1, TAVARES, FL 32778
(352) 742-1171
(352) 742-7241
Mailing address
1879 NIGHTINGALE LANE, SUITE C-1, TAVARES, FL 32778
(352) 742-1171
(352) 742-7241
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374579100
—
FL
Enumeration date
07/12/2006
Last updated
04/28/2021
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