Individual
MICHAEL E GODEAUX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 SOUTH AVE STE C, PENSACOLA, FL 32508-5116
(409) 782-8453
Mailing address
211 SOUTH AVE STE C, PENSACOLA, FL 32508-5116
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
01/06/2025
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