MR. WALDEMAR MELVIN GOULET FNP-BC NP-C NPI 1700806619

NPI Information

MR. Waldemar Melvin Goulet, FNP-BC, NP-C is a family nurse practitioner in Jacksonville, FL. MR. Waldemar Melvin Goulet, FNP-BC, NP-C NPI is 1700806619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3505 UNIVERSITY BLVD W
JACKSONVILLE, FL
ZIP 32217-130
Phone: (904) 438-7683

The NPI 1700806619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 5/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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