Individual
DR. AUDREY BARON GOODPASTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12783 JEBB ISLAND CIR S, JACKSONVILLE, FL 32224-7921
(904) 223-1278
Mailing address
12783 JEBB ISLAND CIR S, JACKSONVILLE, FL 32224-7921
(904) 223-1278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71553
FL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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