Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME124575 | FL |
NPI | 1538283510 |
---|---|
Provider Name | Dr. Kari Sproul Von Goeben |
First Address | Jacksonville, FL 32245-6568 |
Second Address | Jacksonville, FL 32207-8334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 27/07/2015 |