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Ashley Michele Goolsby-Zak

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as ASHLEY GOOLSBY-ZAK.

Based on the most recent information from CMS, provider Ashley Michele Goolsby-Zak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1245864610
Provider Type
Individual
Full Name
Goolsby-Zak, Ashley Michele
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
2/25/2020
Last Updated
8/28/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11003703 Florida

Ashley Michele Goolsby-Zak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Edwards, Steven

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Romecki, Bree Z Brasch

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Remigaylo, Galina Aleksandrovna

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Cushenbery, Kristin

Ahn, Ana Gabriela