Individual
DR. THOMAS M. GOODNIGHT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1305 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4542
(863) 688-2334
Mailing address
PO BOX 90609, LAKELAND, FL 33804-0609
(863) 688-2334
(863) 577-0299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME24680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38308200
—
FL
01
—
53456
BCBS
FL
Enumeration date
11/03/2005
Last updated
07/09/2007
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