Individual
CASEY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(888) 663-3488
Mailing address
25925 CRIPPEN DR, LAND O LAKES, FL 34639-5726
(813) 486-6605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9220991
FL
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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