Individual
GLENN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-2483
(305) 682-5250
Mailing address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-2483
(305) 682-5250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS19803
FL
207P00000X
Emergency Medicine Physician
TP220
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
06/10/2024
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