Organization
ASSOCIATES IN MEDICAL AND SURGICAL DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SETH GOODMAN M.D. (PRESIDENT)
(239) 598-4004
Entity
Organization
Contact information
Practice address
9125 CORSEA DEL FONTANA WAY, # 100, NAPLES, FL 34109-4396
(239) 598-4004
(239) 598-4713
Mailing address
9125 CORSEA DEL FONTANA WAY, # 100, NAPLES, FL 34109-4396
(239) 598-4004
(239) 598-4713
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04756
GOODMAN BLUE CROSS #
FL
01
—
42568
TUCKER BLUE CROSS #
FL
01
—
45192
GROUP BLUE CROSS #
FL
Enumeration date
06/16/2005
Last updated
08/22/2020
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