Provider Demographics
NPI:1225662497
Name:GOTAY, EFRAIN (CSFA)
Entity Type:Individual
Prefix:
First Name:EFRAIN
Middle Name:
Last Name:GOTAY
Suffix:
Gender:M
Credentials:CSFA
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Mailing Address - Street 1:14453 CHINESE ELM DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4837
Mailing Address - Country:US
Mailing Address - Phone:973-392-7676
Mailing Address - Fax:407-386-3006
Practice Address - Street 1:4220 LUGANO CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-3434
Practice Address - Country:US
Practice Address - Phone:321-442-2454
Practice Address - Fax:407-386-3006
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant