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BENJAMIN GOC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1326565318

Individual Registrant:
 BENJAMIN  GOC 
Gender: M
Sole Proprietor

Location and contact information for practice:
400 SW 258TH ST  NEWBERRY, FL 32669 US
Tel: 716-799-5198  Fax: --

Contact information for business:
4400 SW 20TH AVE # 5207  GAINESVILLE, FL 32607-3902 US
Tel: 716-799-5198  Fax: --

Registration Information:
NPI: 1326565318
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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