Jaime Gossan Od, PA

NPI #1730638313 in Deerfield Beach, Florida

Provider Information

NPI Number: 1730638313
Entity Type: Organization
Organization Name: Jaime Gossan Od, PA
Primary Specialty: Optometrist
Enumeration Date: Sep 24, 2016
Last Updated: Sep 24, 2016

Practice Location

Address: 260 S FEDERAL HWY
City: Deerfield Beach
State: Florida
ZIP Code: 33441-4130
Phone: (954) 725-0017

Authorized Official

Name: DR. JAIME SHOUSE GOSSAN, O.D.
Title: OPTOMETRIST
Phone: (919) 357-0824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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