Individual
JANELLE YOLAND GOODEN-EBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9089
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 115655
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME115655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017721200
—
FL
Enumeration date
06/17/2010
Last updated
03/08/2022
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