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Individual

ADAM MICHAEL GOLDSBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
10720 STATE ROAD 54, SUITE 103, TRINITY, FL 34655-2217
(727) 375-2502
(727) 375-2508
Mailing address
10720 STATE ROAD 54, SUITE 103, TRINITY, FL 34655-2217
(727) 375-2502
(727) 375-2508

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
35010106340294
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350101060340294
CERTIFIED PHARMACY TECHINICIAN
FL
Enumeration date
07/28/2009
Last updated
07/28/2009
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