Individual
GARRETT CRAIGE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
2605 WELAUNEE BLVD, TALLAHASSEE, FL 32308-4697
(850) 877-8174
(844) 261-6839
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11004371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104512300
—
FL
Enumeration date
10/07/2019
Last updated
07/20/2022
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