Goss, Jennifer G

Goss, Jennifer G is an individual health care provider with primary practice located at 4771 S Cleveland Ave , Fort Myers FL 33907. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Goss, Jennifer G can be contacted via phone (239) 343-9800.

Contact Information

Primary practice address
4771 S Cleveland Ave Fort Myers FL 33907
Phone: (239) 343-9800
Fax: (239) 343-9848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME139013 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME139013 Florida

Profile Details

NPI number 1134173487
LBN Legal business name Goss, Jennifer G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 12th, 2019 - about 7 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 1134173487 NPPES
Florida MEDICAID 102640500

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