Goyeneche, Nicholas Paul

Goyeneche, Nicholas Paul is an individual health care provider with primary practice located at 8880 Navarre Pkwy Ste 201 , Navarre FL 32566-3614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Goyeneche, Nicholas Paul can be contacted via phone (850) 908-1970.

Contact Information

Primary practice address
8880 Navarre Pkwy Ste 201 Navarre FL 32566-3614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MD.205123 Louisiana
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X ME159093 Florida

Profile Details

NPI number 1932423951
LBN Legal business name Goyeneche, Nicholas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated May 16th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932423951 NPPES
Louisiana MEDICAID 2106601
Louisiana MEDICAID 116491300
Louisiana MEDICAID 05658760

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