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Organization
NJ GOODWIN DO PA
Active
Organization
NJ GOODWIN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J GOODWIN DO (OWNER)
(239) 692-9096
Entity
Organization
Contact information
Practice address
12260 TAMIAMI TRL E STE 102, NAPLES, FL 34113-7937
(239) 692-9096
Mailing address
12260 TAMIAMI TRL E STE 102, NAPLES, FL 34113-7937
(813) 690-5551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS11292
FL
261QU0200X
Urgent Care Clinic/Center
OS11292
FL
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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