Individual
DIANNE LYNN GOEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME123178
FL
207R00000X
Internal Medicine Physician
TRN17300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014776900
—
FL
Enumeration date
05/29/2012
Last updated
08/13/2015
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