Individual
GABRIELLA ROSE GOEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Mailing address
35 ORMOND GREEN BLVD, ORMOND BEACH, FL 32174-8768
(407) 883-9282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16645
FL
235Z00000X
Speech-Language Pathologist
SZ8321
FL
Other
Enumeration date
09/25/2017
Last updated
04/29/2024
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