Individual
DR. GENE GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
790 IVES DAIRY RD, NORTH MIAMI BEACH, FL 33179-2425
(305) 405-0365
(305) 405-0370
Mailing address
790 IVES DAIRY RD, NORTH MIAMI BEACH, FL 33179-2425
(305) 405-0365
(305) 405-0370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0065758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26390X
MEDICARE ID
—
05
—
376822800
—
FL
01
—
ME0065758
LICENSE NUMBER
FL
Enumeration date
03/19/2007
Last updated
06/24/2014
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