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Individual

HEIDI REBECCA GOEDICKE

Active
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Individual

HEIDI REBECCA GOEDICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME123843
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME123843
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014836900
FL
01
MT194750
MEDICAL TRAINING LICENSE NUMBER
PA
01
TRN17847
FLORIDA TRAINING LICENSE
FL
Enumeration date
11/18/2010
Last updated
01/21/2022
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