Healthcare Provider Details

I. General information

NPI: 1366959264
Provider Name (Legal Business Name): KAYLA MARIE GOLDSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SE 1ST AVE
OCALA FL
34471-2176
US

IV. Provider business mailing address

35 SE 1ST AVE STE 200
OCALA FL
34471-2177
US

V. Phone/Fax

Practice location:
  • Phone: 352-820-8951
  • Fax:
Mailing address:
  • Phone: 352-820-8951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: