Individual
DR. ANGELA CHRISTINE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11715 ORPINGTON ST STE A, TLC PEDIATRIC AND ADOLESCENT MEDICINE IN ASSOC WITH NEM, ORLANDO, FL 32817-4600
(407) 380-9115
(407) 380-9189
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME114250
FL
208D00000X
General Practice Physician
Primary
ME114250
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN15002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010875900
—
FL
Enumeration date
06/08/2010
Last updated
11/19/2020
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