Individual
CASEY GOGUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(760) 636-8052
Mailing address
1171 N JEAGA DR, JUPITER, FL 33458-8270
(760) 636-8052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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