| Mariam Goubrial, DC | |
|
710 Centerview Blvd, Kissimmee, FL 34741-7651 | |
| (689) 202-4335 | |
| Not Available |
| Full Name | Mariam Goubrial |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 710 Centerview Blvd, Kissimmee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710743737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14917 (Florida) | Primary |
| Provider Name | Synergy 33 Wellness |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710646815 PECOS PAC ID: 2264825819 Enrollment ID: O20220203001931 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Goubrial, DC 9419 Wellstone Dr, Land O Lakes, FL 34638-2575 Ph: () - | Mariam Goubrial, DC 710 Centerview Blvd, Kissimmee, FL 34741-7651 Ph: (689) 202-4335 |
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