# KABS GOODWILL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEARRS MEDICAL CLINIC
- **Other names:** BEARSS MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225354822
- **Legal business name:** BEARRS MEDICAL CLINIC
- **Authorized official:** BODE ISHOLA (PRESIDENT)
- **Authorized official phone:** (813) 977-7804

## Contact information

- **Practice address:** 2806 E BEARSS AVE, TAMPA, FL 33613-2653
- **Practice address phone:** (813) 977-7804
- **Mailing address:** 2806 E BEARSS AVE, TAMPA, FL 33613-2653
- **Mailing address phone:** (813) 977-7804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME102530 | FL | Yes |

## Other

- **Enumeration date:** 04/08/2010
- **Last updated:** 11/19/2010