Individual
SHAQUEL AKILAH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 TUPELO TRL, HAINES CITY, FL 33844-4149
(407) 446-9891
Mailing address
1257 TUPELO TRL, HAINES CITY, FL 33844-4149
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND14179
FL
Other
Enumeration date
10/06/2025
Last updated
04/17/2026
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