Doctor Name: | HEIDI GOFF |
NPI Number: | 1245298975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 16192 |
Business Practice Address: | 692 Barrington Cir Winter Springs, FL - 327086115 |
Business Phone Number: | 4073124133 |
Business Fax Number: | 4079719703 |
Mailing Address: | 692 Barrington Cir, WINTER SPRINGS |
State: | FL |
Postal Code: | 327086115 |
Phone Number: | 4073124133 |
Fax Number: | 4079719703 |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | PT 16192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |