Gotro, Madison Leigh

Gotro, Madison Leigh is an sole proprietor health care provider with primary practice located at 12724 Gran Bay Pkwy W Ste 410 , Jacksonville FL 32258-9486. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Gotro, Madison Leigh can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
12724 Gran Bay Pkwy W Ste 410 Jacksonville FL 32258-9486
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X North Carolina

Profile Details

NPI number 1528638038
LBN Legal business name Gotro, Madison Leigh
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2021
Last updated Jun 28th, 2021 - about 5 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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