MEDICARE: DR. SONAL G GOSWAMI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	ME88364	FL
2	2084P0804X	Child & Adolescent Psychiatry Physician	104762	MT
3	2084P0800X	Psychiatry Physician	ME88364	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275648255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONAL G GOSWAMI MD

Provider Business Mailing Address
First Line	:	8312 HEDGEWOOD DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1489
Country	:	US
Telephone Number	:	302-651-6212
Fax Number	:	302-651-4945

Provider Business Practice Location Address
First Line	:	4320 DEERWOOD LAKE PKWY STE 101-232
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1177
Country	:	US
Telephone Number	:	904-513-8747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/10/2022

Similar Medicare Providers

1700825767 — PUBLIX SUPER MARKETS INC
Practice Location Address:

4320 DEERWOOD LAKE PKWY
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-620-8344
Practice Fax: 904-997-0575

1750440988 — BLACK BAG MEDICAL INC
Practice Location Address:

4320 DEERWOOD LAKE PKWY , SUITE 101, PMB 321
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-371-4051
Practice Fax: 904-807-4839

1174707236 — MS. YULANDA T FAISON- OYEBANJI DNP, NP
Practice Location Address:

4320 DEERWOOD LAKE PKWY , 310
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-608-2900
Practice Fax:

1376845933 — DR. JAIME VICTORIA MARRA PH.D.
Practice Location Address:

4320 DEERWOOD LAKE PKWY STE 101-108
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-479-5120
Practice Fax:

1528306909 — DR. JESSICA A PETERSON PHARMD
Practice Location Address:

4320 DEERWOOD LAKE PKWY
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-620-0599
Practice Fax:

1396083580 — DR. CARLOS RAYMUNDO GOMEZ PHARMD
Practice Location Address:

4320 DEERWOOD LAKE PKWY
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-620-8344
Practice Fax: 904-997-0575

Directions to “ DR. SONAL G GOSWAMI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.