Individual
MR. GARY STEPHEN GOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
7540 W UNIVERSITY AVE, GAINESVILLE, FL 32607-7609
(352) 265-0335
(352) 265-0336
Mailing address
7540 W UNIVERSITY AVE, GAINESVILLE, FL 32607-7609
(352) 265-0335
(352) 265-0336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000678
FLORIDA PRESCRIBING #
FL
05
—
290070000
—
FL
01
—
Y05RR
FLORIDA BLUE PROVIDER ID
FL
Enumeration date
09/02/2006
Last updated
04/06/2016
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