Individual
DR. KATRINA ANNE GODDERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-0455
Mailing address
3250 GRAND AVE, APARTMENT 310, MIAMI, FL 33133-5016
(509) 315-6319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD177893
OR
207P00000X
Emergency Medicine Physician
Primary
ME 122296
FL
Other
Enumeration date
08/08/2012
Last updated
09/20/2023
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