Organization
KEISHA GOODISON DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEISHA ADAMA GOODISON DO (PRESIDENT)
(954) 366-3425
Entity
Organization
Contact information
Practice address
100 E SAMPLE RD, SUITE 300, POMPANO BEACH, FL 33064
(954) 366-3425
(954) 366-3510
Mailing address
100 E SAMPLE RD, SUITE 300, POMPANO BEACH, FL 33064-3554
(954) 366-3425
(954) 366-3510
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
09/04/2018
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