Individual
KAREN R GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 7TH ST S STE 510, ST PETERSBURG, FL 33701-4736
(727) 893-6370
(727) 893-6371
Mailing address
601 7TH ST S STE 510, ST PETERSBURG, FL 33701-4736
(727) 893-6370
(727) 893-6371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101974
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291502200
—
FL
01
—
P00092763
RAILROAD MEDICARE
FL
01
—
Y0RE1
BCBS OF FL
FL
Enumeration date
04/06/2006
Last updated
05/14/2026
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