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Individual

PRIYANKA GOSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021
(954) 265-7750
(954) 276-0280
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME133476
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021904400
FL
Enumeration date
09/12/2010
Last updated
06/16/2018
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