Individual
DR. ANGELO E GOUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1951 SW 172ND AVE, SUITE 305, MIRAMAR, FL 33029-5593
(954) 362-2720
(954) 362-2762
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0069645
FL
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
ME69645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001331
JMH HEALTH
FL
01
—
0717123
CIGNA
FL
01
—
1034380
CAREPLUS/NEW CENTURY
FL
01
—
1193064
WELLCARE
FL
01
—
185336
UNIVERSAL HEALTHCARE
FL
01
—
24166
MEDICA
FL
01
—
244190
AVMED
FL
05
—
2538938-00
—
FL
01
—
41461
BCBS FL
FL
01
—
5323586
AETNA
FL
01
—
F00197988703
UNITED HEALTHCARE
FL
01
—
P0004230
FLORIDA HEALTHCARE PLUS
FL
01
—
P01048791
RAILROAD MEDICARE
FL
01
—
P01715251
SIMPLY HEALTHCARE
FL
01
—
P1001081
FREEDOM HEALTH
FL
01
—
P941893
OPTUMIM
FL
01
—
PRL0000027914
PREFERRED MEDICAL PLAN
FL
01
—
QMP000003983934
MOLINA HEALTH
FL
Enumeration date
07/03/2006
Last updated
08/02/2016
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