Gough, Victoria Faith
Gough, Victoria Faith is an sole proprietor health care provider with primary practice located at 1395 N Courtenay Pkwy , Merritt Island FL 32953-4400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gough, Victoria Faith can be contacted via phone (321) 986-8812.Contact Information
Primary practice address
1395 N Courtenay Pkwy
Merritt Island FL 32953-4400
Phone: (321) 986-8812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 30339 | Florida |
Profile Details
| NPI number | 1356950620 |
|---|---|
| LBN Legal business name | Gough, Victoria Faith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jul 23rd, 2020 - about 5 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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