Individual
DR. JENNIFER CHRISTIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12955 PALMS WEST DR, BUILDING 8, SUITE 100, LOXAHATCHEE, FL 33470-4993
(561) 798-2468
(561) 798-2773
Mailing address
8200 S JOG RD, SUITE 203, BOYNTON BEACH, FL 33472-2981
(561) 327-4960
(561) 738-1807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME100876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001639800
—
FL
01
—
145P1
BCBS OF FL
FL
01
—
ME100876
STATE LICENSE
FL
Enumeration date
10/31/2006
Last updated
09/19/2012
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