Organization
GOUSSE UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO GOUSSE M.D. (MGRM)
(954) 362-2720
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, SUITE 305, MIRAMAR, FL 33029-5593
(954) 362-2720
Mailing address
1951 SW 172ND AVE, SUITE 305, MIRAMAR, FL 33029-5593
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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