NPI 1174673131 · live from the CMS NPI Registry
Stephen William Goff, MA, CCC-A
Audiologist in Venice, FL. National Provider Identifier 1174673131, active.
NPI record
| NPI | 1174673131 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2379 E Venice Ave, Venice, FL 34292 |
| Practice phone | 941-485-6006 |
| Mailing address | 8800 Se Sunnyside Rd, Ste 300-N, Clackamas, OR 97015 |
| Enumerated | January 11, 2007 |
| Last updated | September 19, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AY 1450 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.