Individual
MR. CHARLES GOODNOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10000 W COLONIAL DR, OCOEE, FL 34761-3400
(321) 841-7550
(321) 841-8185
Mailing address
10000 W COLONIAL DR, OCOEE, FL 34761-3400
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101745
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101745
FL
Other
Enumeration date
06/22/2006
Last updated
12/28/2023
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