Active NPIIndividual providerSole proprietor

Dr. Jack M Goloff, DO

Family Medicine in Gainesville, Florida

NPI Number1619125390
Practice location
304 NW 36TH St, Gainesville, FL 32607-2443
Fax
954-493-8889
Last updated
September 21, 2023

Jack M Goloff is a Family Medicine based in Gainesville, FL. Jack M Goloff practices in Gainesville, FL and has the professional credentials of DO. The NPI Number for Jack M Goloff is 1619125390 and holds a License No. OS8194 (FL). The current practice location address for Jack M Goloff is 304 NW 36TH St, Gainesville, FL 32607-2443 and can be reached out via phone at 954-263-3399 and via fax at 954-493-8889.

Provider Profile Details

NPI Number
1619125390
Provider Name
Jack M Goloff
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
304 NW 36TH St, Gainesville, FL 32607-2443
Phone Number
954-263-3399
Fax Number
954-493-8889
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2008
Last Update Date
September 21, 2023
Certification Date
September 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
304 NW 36TH St
Gainesville, FL 32607-2443
State
Florida
Zip
32607-2443
Phone Number
954-263-3399
Fax Number
954-493-8889
Gainesville, FL 32607Get directions →

Provider Business Mailing Address Details

Address
304 NW 36TH St
Gainesville, FL 32607-2443
City
Gainesville
State
FL
Zip
32607-2443
Phone Number
954-263-3399
Fax Number
954-493-8889

License Information

License Number (1)
OS8194
License State (1)
FL
Taxonomy (1)
· 208VP0000X
License Number (2)
8491
License State (2)
FL
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jack M Goloff, DO?

The NPI number of Dr. Jack M Goloff, DO is 1619125390. It was assigned on September 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack M Goloff, DO?

Dr. Jack M Goloff, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in FL under license number OS8194.

Where does Dr. Jack M Goloff, DO practice?

The practice location is 304 NW 36TH St, Gainesville, FL 32607-2443. The office can be reached at 954-263-3399 (phone) or 954-493-8889 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619125390 directly on the NPPES registry website.

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