Individual
AMY GOODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W BROWARD BLVD, FORT LAUDERDALE, FL 33312-1638
(954) 527-6041
(954) 527-6052
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 527-6041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U06719
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/25/2019
Last updated
04/01/2024
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