RUTH GOBOURNE


Address: 7969 Oak Run Cir, Lakeland, FL 33809-7253
Phone: 8636080559

RUTH GOBOURNE (NPI# 1598256158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598256158
Entity Type Individual
Full Name RUTH GOBOURNE
Practice Address 7969 Oak Run Cir
Lakeland
FL 33809-7253
Practice Telephone 8636080559
Mailing Telephone 8636080559
Enumeration Date 2018-05-18
Last Update Date 2018-05-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9186048 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7969 OAK RUN CIR
City LAKELAND
State FL
Zip Code 33809-7253

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1730737370 Shurine L Handfield Nurse Practitioner 7157 Heatherbrook Dr, Lakeland, FL 33809-4626 2019-08-27
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1558357418 Mavra E Kear Nurse Practitioner 1831 Gilmore Ave, Lakeland, FL 33805-3017 2005-09-26
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1689106965 Christine Fechter Nurse Practitioner 206 N Florida Ave, Lakeland, FL 33801 2017-03-28
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Competitor

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City LAKELAND
Zip Code 33809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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