Organization
GOODLIFE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATLEY WALDRON (MANAGING MEMBER)
(863) 382-4445
Entity
Organization
Contact information
Practice address
13 RYANT BLVD, SEBRING, FL 33870-8075
(863) 382-4445
(863) 382-4447
Mailing address
13 RYANT BLVD, SEBRING, FL 33870-8075
(863) 382-4445
(863) 382-4447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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