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Individual

DR. VINCENT CODY GODINICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7551 YOUREE DR STE 11, SHREVEPORT, LA 71105-5533
(318) 642-9282
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
337011
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2524879
LA
Enumeration date
03/31/2020
Last updated
03/26/2026
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