Individual
DEBRA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MEDICAL PARK DR STE 500, TAMPA, FL 33613-6600
(813) 615-7028
(813) 615-8008
Mailing address
151 RUTH ST, PITTSBURGH, PA 15211-2384
(412) 341-3520
(412) 341-3525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN722357
PA
363L00000X
Nurse Practitioner
Primary
SP020941
PA
363LF0000X
Family Nurse Practitioner
APRN11024313
FL
363LF0000X
Family Nurse Practitioner
F339595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/24/2014
Last updated
07/12/2023
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