Provider Demographics
NPI:1164618112
Name:GOOZE, LORRAINE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:GOOZE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 NE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-2907
Mailing Address - Country:US
Mailing Address - Phone:954-923-1257
Mailing Address - Fax:
Practice Address - Street 1:14501 SW 18TH CT
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-4952
Practice Address - Country:US
Practice Address - Phone:954-401-1745
Practice Address - Fax:954-236-4256
Is Sole Proprietor?:No
Enumeration Date:2007-09-23
Last Update Date:2007-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT02132279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health