Headley, Goldha Andre

Headley, Goldha Andre is an individual health care provider with primary practice located at 2440 Hooks St , Clermont FL 34711-3514. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Headley, Goldha Andre can be contacted via phone (321) 841-7550.

Contact Information

Primary practice address
2440 Hooks St Clermont FL 34711-3514
Phone: (321) 841-7550
Fax: (321) 841-1885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11030911 Florida

Profile Details

NPI number 1902668288
LBN Legal business name Headley, Goldha Andre
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2024
Last updated Aug 21st, 2026 - about 2 months 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 1902668288 NPPES
Florida MEDICAID 121919300

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