Individual
RHONDA MARCIA GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
7575 KINGSPOINTE PKWY, SUITE 21, ORLANDO, FL 32819-8517
(407) 547-5576
Mailing address
PO BOX 568373, ORLANDO, FL 32856-8373
(407) 547-5576
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA59371
FL
Other
Enumeration date
01/24/2014
Last updated
07/14/2014
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