Organization
RETROGENICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S GOODKIN DC (BILLER)
(954) 202-9009
Entity
Organization
Contact information
Practice address
6333 N FEDERAL HWY, STE 250, FT LAUDERDALE, FL 33308-1907
(954) 202-9009
Mailing address
6333 N FEDERAL HWY, STE 250, FT LAUDERDALE, FL 33308-1907
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME983636
FL
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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