Organization
GERALD R GOSS D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD R GOSS D.O. (DR)
(407) 277-7671
Entity
Organization
Contact information
Practice address
1713 FOXBOWER RD, ORLANDO, FL 32825-6506
(407) 277-7671
(407) 277-7326
Mailing address
1713 FOXBOWER RD, ORLANDO, FL 32825-6506
(407) 277-7671
(407) 277-7326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0001386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014743136
PALMETTO GBA RR MCR
GA
05
—
046391400
—
FL
01
—
10829
FL HOSP HEALTHCARE SYSTEM
FL
01
—
81231
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
03/24/2008
Last updated
03/24/2008
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