Goff, Azlyn

Goff, Azlyn is an sole proprietor health care provider with primary practice located at 330 N Babcock St Ste 103 , Melbourne FL 32935-7324. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Goff, Azlyn can be contacted via phone (321) 321-6551.

Contact Information

Primary practice address
330 N Babcock St Ste 103 Melbourne FL 32935-7324
Phone: (321) 321-6551
Fax: (321) 204-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME157327 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 64058 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 64058 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME157327 Florida

Profile Details

NPI number 1962858670
LBN Legal business name Goff, Azlyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2016
Last updated Nov 17th, 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 1962858670 NPPES
Florida MEDICAID 115356700

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