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Organization

ANIL K GOYAL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANIL K GOYAL MD (PHYSICIAN)
(772) 467-0605
Entity
Organization

Contact information

Practice address
2716 SOUTH US #1, FORT PIERCE, FL 34982-5919
(772) 467-0605
(772) 467-0477
Mailing address
2716 SOUTH US #1, FORT PIERCE, FL 34982-5919
(772) 467-0605
(772) 467-0477

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME68744
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27362
BLUE CROSS
FL
05
378557200
FL
Enumeration date
09/14/2006
Last updated
12/18/2013
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