Individual
MRS. JEAN ALEXANDRA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
975 BAPTIST WAY STE 202, HOMESTEAD, FL 33033-7600
(786) 243-8444
(786) 576-0416
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 594-6880
(786) 533-9261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105096
FL
Other
Enumeration date
09/30/2009
Last updated
10/20/2021
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