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Organization
GOODMAN SERVICES, LLC
Active
Organization
GOODMAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY GOODMAN JR. (GENERAL MANAGER)
(863) 512-6003
Entity
Organization
Contact information
Practice address
2132 22ND AVE S, ST PETERSBURG, FL 33712-3117
(863) 512-6003
(863) 213-4060
Mailing address
PO BOX 92105, LAKELAND, FL 33804-2105
(863) 512-6003
(863) 213-4060
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021228900
—
FL
Enumeration date
06/25/2018
Last updated
06/25/2018
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