NPI 1023708443
Ellen Golden Goheen, LDO
Practice location
- Address
- 6745 N Church Ave, Mulberry, FL 33860-2080
- Phone
- (863) 581-2532
- Fax
- (863) 701-2595
- Mailing address
- 290 W Valencia Dr, Bartow, FL 33830-7155
Registered specialties
Optician
Primary
Registry record
- NPI
- 1023708443
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 May 2023
- Record last updated
- 9 May 2023
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.