# KEVIN L GOODHUE OD LLC

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

## Provider details

- **NPI number:** 1477060085
- **Authorized official:** DR. KEVIN LEE GOODHUE OD (OPTOMETRIST)
- **Authorized official phone:** (407) 880-3600

## Contact information

- **Practice address:** 730 S ORANGE BLOSSOM TRL, APOPKA, FL 32703-6558
- **Practice address phone:** (407) 880-3600
- **Mailing address:** 730 S ORANGE BLOSSOM TRL, APOPKA, FL 32703-6558
- **Mailing address phone:** (407) 880-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4705 | FL | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 01/04/2018