Gossman, Mary Jean

Gossman, Mary Jean is an individual health care provider with primary practice located at 105 Nw Santa Fe Blvd High Springs Medical Center, High Springs FL 32655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gossman, Mary Jean can be contacted via phone (386) 454-7746.

Contact Information

Primary practice address
105 Nw Santa Fe Blvd High Springs Medical Center High Springs FL 32655
Phone: (386) 454-7746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1809 Florida

Profile Details

NPI number 1225083082
LBN Legal business name Gossman, Mary Jean
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jun 12th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225083082 NPPES
Florida Other 00000340 FLORIDA PRESCRIBING #
Florida MEDICAID 290008400 FLORIDA PRESCRIBING #
Florida Other PA1809 FLORIDA PRESCRIBING #

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