Go, Jean
Go, Jean is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 501 , Daytona Beach FL 32117-5170. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Go, Jean can be contacted via phone (386) 615-0900.Contact Information
Primary practice address
305 Memorial Medical Pkwy Ste 501
Daytona Beach FL 32117-5170
Phone: (386) 615-0900
Fax: (386) 615-0902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME105399 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 105399 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME105399 | Florida |
Profile Details
| NPI number | 1467647743 |
|---|---|
| LBN Legal business name | Go, Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Nov 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467647743 | NPPES |
| Florida | MEDICAID | 011905900 |
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