Organization
PALM COAST INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GOODWIN M.D. (PRESIDENT)
(386) 437-4711
Entity
Organization
Contact information
Practice address
21 HOSPITAL DR, SUITE 280, PALM COAST, FL 32164-2452
(386) 437-4711
Mailing address
21 HOSPITAL DR, SUITE 280, PALM COAST, FL 32164-2452
(386) 437-4711
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
ME78172
FL
Other
Enumeration date
01/30/2007
Last updated
09/04/2008
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