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Individual

MICHAEL LOUIS GOODMAN

Active
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Individual

MICHAEL LOUIS GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
DR.0040268
CO
207T00000X
Neurological Surgery Physician
MD027640E
PA
207T00000X
Neurological Surgery Physician
Primary
ME102142
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000222900
FL
01
1548270788
RR MCR
FL
05
1548270788
AL
Enumeration date
08/09/2006
Last updated
09/10/2025
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