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Individual

DR. RICHARD M GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21110 BISCAYNE BLVD, SUITE 303, AVENTURA, FL 33180-1227
(305) 466-0030
(305) 466-4755
Mailing address
21110 BISCAYNE BLVD, SUITE 303, AVENTURA, FL 33180-1227
(305) 466-0030
(305) 466-4755

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME21487
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058731100
FL
01
1117963
CIGNA
01
2045636
AETNA
01
20544
NEIGHBORHOOD HEALTH PLAN
01
408111337
MEDICARE RAILROAD
01
5487107
FIRST HEATLH
01
591322663A
HUMANA
01
92713
HEALTH OPTIONS
Enumeration date
10/17/2005
Last updated
01/26/2011
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