MEDICARE: MICHELLE GOFFE

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1972827608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE GOFFE

Provider Business Mailing Address
First Line	:	475 SE 8TH ST
Second Line	:	#223
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-5574
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 SE 8TH ST
Second Line	:	223
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-5574
Country	:	US
Telephone Number	:	954-270-1784
Fax Number	:

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

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	03/24/2010

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Directions to “ MICHELLE GOFFE ” Practice Location

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