Provider Demographics
NPI:1437250545
Name:JM GOYOS & ASSOCIATES, INC
Entity Type:Organization
Organization Name:JM GOYOS & ASSOCIATES, INC
Other - Org Name:GOYOS & ASSOCIATES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:GOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-844-4452
Mailing Address - Street 1:PO BOX 7947
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-7947
Mailing Address - Country:US
Mailing Address - Phone:561-844-4452
Mailing Address - Fax:561-844-4471
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 400A
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1691
Practice Address - Country:US
Practice Address - Phone:561-844-4452
Practice Address - Fax:561-844-4471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00019021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ2348Medicare ID - Type Unspecified