# GOOD MEDICINE, INC.

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

## Provider details

- **NPI number:** 1649884594
- **Authorized official:** DR. SARAH DIANE BEASLEY LUCE DNP, APRN, FNP-BC (FOUNDER AND PROVIDER)
- **Authorized official phone:** (941) 253-0300

## Contact information

- **Practice address:** 4730 E STATE ROAD 64 STE A, BRADENTON, FL 34208-9058
- **Practice address phone:** (941) 253-0300
- **Practice address fax:** (531) 200-7535
- **Mailing address:** 3520 SAVANNA PALMS CT, BRADENTON, FL 34211-2449
- **Mailing address phone:** (941) 807-1686
- **Mailing address fax:** (531) 200-7535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 09/08/2020
