Individual
ROBIN THAD GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 ROYAL PALM SQUARE BLVD, STE 106, FORT MYERS, FL 33919-1068
(239) 939-3937
(239) 275-8045
Mailing address
1510 ROYAL PALM SQUARE BLVD, STE 106, FORT MYERS, FL 33919-1068
(239) 939-3937
(239) 275-8045
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0037950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042931700
—
FL
Enumeration date
08/16/2005
Last updated
10/04/2011
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