Individual
SANDRA BETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5245 E FLETCHER AVE, SUITE 1, TAMPA, FL 33617-1126
(813) 914-7304
(813) 676-8812
Mailing address
5245 E FLETCHER AVE, SUITE 1, TAMPA, FL 33617-1126
(813) 914-7304
(813) 676-8812
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
19268
DC
207VE0102X
Reproductive Endocrinology Physician
51258
VA
207VE0102X
Reproductive Endocrinology Physician
60592
MA
207VE0102X
Reproductive Endocrinology Physician
D42657
MD
207VE0102X
Reproductive Endocrinology Physician
Primary
ME79728
FL
Other
Enumeration date
09/14/2005
Last updated
10/29/2010
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