Healthcare Provider Details

I. General information

NPI: 1942048954
Provider Name (Legal Business Name): CHRISTOPHER GOSS MSN, FNP-C, RN, CNOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 SE 3RD CT STE 200
OCALA FL
34471-0442
US

IV. Provider business mailing address

2820 SE 3RD CT STE 200
OCALA FL
34471-0442
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-8817
  • Fax:
Mailing address:
  • Phone: 352-401-8817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11033998
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11033998
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: