Individual
DR. CARL WILLIAM GOODCHILD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12780 RACE TRACK ROAD, SUITE 400, TAMPA, FL 33626-1395
(813) 321-6262
(813) 792-2561
Mailing address
4902 EISENHOWER BLVD., SUITE 300, TAMPA, FL 33634-6344
(813) 636-2000
(813) 792-2561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053988122
—
FL
Enumeration date
04/12/2007
Last updated
03/25/2010
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