Individual
BROOKE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
219340
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019247
FL
367500000X
Certified Registered Nurse Anesthetist
CRNA1233
AZ
Other
Enumeration date
06/04/2014
Last updated
08/22/2022
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