Organization
SELBOURNE GOODE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELBOURNE GOODE MD (OWNER)
(954) 442-0025
Entity
Organization
Contact information
Practice address
601 N. FLAMINGO RD, SUITE 305, PEMBROKE PINES, FL 33028-1010
(954) 442-0025
(954) 442-0026
Mailing address
601 N. FLAMINGO RD, SUITE 305, PEMBROKE PINES, FL 33028-1010
(954) 442-0025
(954) 442-0026
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256577300
—
FL
Enumeration date
05/15/2012
Last updated
04/18/2014
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