# DR. FREDERICK MARK GOODWIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568556504
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME00013382 | FL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/06/2015

## 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 | — |