Organization
F MARK GOODWIN MD PA
Active
Other names
Lakeland Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK MARK GOODWIN MD (PRESIDENT)
(863) 688-8401
Entity
Organization
Contact information
Practice address
2000 E EDGEWOOD DR, SUITE 110, LAKELAND, FL 33803-3653
(863) 688-8401
(863) 682-3659
Mailing address
PO BOX 907, LAKELAND, FL 33802-0907
(863) 688-8401
(863) 682-3659
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
04/12/2012
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