# RETROGENICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205212255
- **Authorized official:** PAUL S GOODKIN DC (BILLER)
- **Authorized official phone:** (954) 202-9009

## Contact information

- **Practice address:** 6333 N FEDERAL HWY, STE 250, FT LAUDERDALE, FL 33308-1907
- **Practice address phone:** (954) 202-9009
- **Mailing address:** 6333 N FEDERAL HWY, STE 250, FT LAUDERDALE, FL 33308-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME983636 | FL | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 07/31/2015