Goss, Samuel J
Goss, Samuel J is an individual health care provider with primary practice located at 1879 Nightingale Lane Suite C1, Tavares FL 32778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goss, Samuel J can be contacted via phone (352) 742-1171.Contact Information
Primary practice address
1879 Nightingale Lane Suite C1
Tavares FL 32778
Phone: (352) 742-1171
Fax: (352) 742-7241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0506997 | Florida |
Profile Details
| NPI number | 1063443653 |
|---|---|
| LBN Legal business name | Goss, Samuel J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 30th, 2013 - about 11 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 | 1063443653 | NPPES |
| Florida | MEDICAID | 378286700 |
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