Individual
DR. JOHN THOMAS GOODGAME JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BAY PINES, SURG 112, BAY PINES, FL 33744
(727) 398-6661
Mailing address
1732 SUNSET DR, CLEARWATER, FL 33755-1759
(727) 446-3451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 33567
FL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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