Healthcare Provider Details

I. General information

NPI: 1447741509
Provider Name (Legal Business Name): MRS. FRANZISKA GOETZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6253 LANSDOWNE CIR
BOYNTON BEACH FL
33472-5106
US

IV. Provider business mailing address

6253 LANSDOWNE CIR
BOYNTON BEACH FL
33472-5106
US

V. Phone/Fax

Practice location:
  • Phone: 954-604-0618
  • Fax:
Mailing address:
  • Phone: 954-604-0618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9111512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: