Individual
DAVID ALAN GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3450 HULL RD, GAINESVILLE, FL 32607-4144
(352) 273-7002
(352) 273-7293
Mailing address
1600 SW ARCHER RD, BOX 112727, GAINESVILLE, FL 32610-3003
(352) 273-7002
(352) 273-7293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100883400
—
FL
Enumeration date
02/02/2018
Last updated
03/16/2020
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