Individual
RICHARD GOODLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1053 MEDICAL CENTER DR STE 151, ORANGE CITY, FL 32763-8261
(386) 917-5160
Mailing address
860 BROADSTONE WAY APT 201, ALTAMONTE SPRINGS, FL 32714-1638
(973) 508-9035
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT37678
FL
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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