Individual
JOII WEST GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1485 INTERNATIONAL PKWY, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
1485 INTERNATIONAL PKWY, HEATHROW, FL 32746-5303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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