Mayberry, Goma

Mayberry, Goma is an sole proprietor health care provider with primary practice located at 773 Riverside Dr , Ormond Beach FL 32176-7878. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mayberry, Goma can be contacted via phone (386) 795-2457.

Contact Information

Primary practice address
773 Riverside Dr Ormond Beach FL 32176-7878
Phone: (386) 795-2457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN9308893 Florida

Profile Details

NPI number 1588101174
LBN Legal business name Mayberry, Goma
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2017
Last updated Jan 20th, 2017 - about 9 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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