Active NPI
Mariam Goubrial, DC
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1710743737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14917
- Practice address
- 710 Centerview Blvd
Kissimmee, FL 34741-7651 - Phone
- (689) 202-4335
- NPI assigned
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14917 | FL | Primary |
Addresses
Primary practice location
710 Centerview Blvd
Kissimmee, FL 34741-7651
Mailing address
9419 Wellstone Dr
Land O Lakes, FL 34638-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14917 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1710743737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9419 WELLSTONE DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346382575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CENTERVIEW BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417651",
"telephone_number": "689-202-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUBRIAL",
"first_name": "MARIAM",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.