Provider Demographics
NPI:1467070110
Name:GOYCO-COX, JAMALINE ROSITA
Entity Type:Individual
Prefix:MRS
First Name:JAMALINE
Middle Name:ROSITA
Last Name:GOYCO-COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMALINE
Other - Middle Name:ROSITA
Other - Last Name:GOYCO-BATTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6141 RALEIGH ST APT 1010
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2278
Mailing Address - Country:US
Mailing Address - Phone:689-206-3914
Mailing Address - Fax:
Practice Address - Street 1:6141 RALEIGH ST APT 1010
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2278
Practice Address - Country:US
Practice Address - Phone:689-206-3914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator