NPI 1013163104

Ruphlal Robert Gooljar

Practitioner Prosthetist Jacksonville, FL

Practice location

Address: 807 Children's Way, Jacksonville, FL 32207-8426
Phone: (904) 390-3600
Fax: (904) 390-3592
Mailing address: P.O. Box 5720, Jacksonville, FL 32247-5720

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence POR15 (FL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence POR15 (FL)

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence POR15 (FL)

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Registry record

NPI: 1013163104
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2008
Record last updated: 8 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.