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Individual
DR. FREDERICK MARK GOODWIN
Active
Individual
DR. FREDERICK MARK GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME00013382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0625534
AETNA
FL
01
—
0905403
UNITED HEALTH CARE
—
01
—
200018451
MEDICARE RAILROAD
—
01
—
207661
AVMED
—
01
—
25133
BLUE SHIELD
FL
01
—
25133Z
MEDICARE P-TAN
FL
05
—
375203800
—
FL
01
—
4815734002
CIGNA
—
Enumeration date
10/03/2006
Last updated
03/06/2015
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