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BENJAMIN GOC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1326565318
Individual Registrant: BENJAMIN GOC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
400 SW 258TH ST NEWBERRY, FL 32669 US
Tel: 716-799-5198 Fax: --
Tel: 716-799-5198 Fax: --
Contact information for business:
4400 SW 20TH AVE # 5207 GAINESVILLE, FL 32607-3902 US
Tel: 716-799-5198 Fax: --
Tel: 716-799-5198 Fax: --
Registration Information:
NPI: 1326565318
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
