Individual
RALPH C GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7720 US HIGHWAY 98 W, STE 230, MIRAMAR BEACH, FL 32550-7230
(850) 278-3742
(850) 278-3779
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 278-3742
(850) 278-3779
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME125346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112825001
—
AR
05
—
17806
—
MS
05
—
202389508
—
MO
05
—
3166103
—
TN
01
—
460001521
RAILROAD MEDICARE
TN
Enumeration date
04/08/2006
Last updated
11/30/2015
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