Individual
AMY KRISTINA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CROTON RD, MELBOURNE, FL 32935-6340
(321) 752-3170
(321) 752-3179
Mailing address
301 ORCHID BLVD, MELBOURNE, FL 32901-1441
(856) 381-5681
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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