Doctor Name: | DR. DENISE R. GOOCH |
NPI Number: | 1023115326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | D63893 |
Business Practice Address: | 7503 Greenway Center Dr Greenbelt, MD - 207703508 |
Business Phone Number: | 3014463540 |
Business Fax Number: | 3014463543 |
Mailing Address: | 2234 Colonial Blvd, Managed Care Dept FORT MYERS |
State: | FL |
Postal Code: | 339071412 |
Phone Number: | 2399317342 |
Fax Number: | 2399317385 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 11/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D63893 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |