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Individual

ALLAN M. GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4048
(239) 348-4178
Mailing address
PO BOX 11392, BELFAST, ME 04915-4004
(866) 949-1433

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
FLME0041241
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267967100
FL
01
81369Y
MEDICARE PTAN
FL
Enumeration date
05/16/2006
Last updated
06/22/2018
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