Individual
DR. CARMEN LISA GOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1384 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2109
(772) 249-0488
(772) 249-4695
Mailing address
1384 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2109
(772) 249-0488
(772) 249-4695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26499
FL
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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