SearchFlorida374J00000X

Kelly Googe

NPI 1922357912 · on the registry since 2012 · sole proprietor

Practice

Address
11352 Mandarin Ridge Ln
Jacksonville, FL 32258
Phone
(904) 268-8248

Registry record

Primary taxonomy
374J00000X
374J00000X
Also registered as
174N00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida