MEDICARE: DR. CHERYL ANN GOULD NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ00048200	NJ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F402073-1	NY
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9412499	FL

General Provider Information

NPI Number	:	1942322110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL ANN GOULD NP

Provider Business Mailing Address
First Line	:	6275 SAND LAKE VISTA DR APT 5229
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-3537
Country	:	US
Telephone Number	:	917-371-3480
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 SAND LAKE VISTA DR APT 5229
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-3537
Country	:	US
Telephone Number	:	917-371-3480
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	02/08/2023

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