Individual
EDWARD CLAIR GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1730
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3421082
FL
163WR0006X
Registered Nurse First Assistant
Primary
RN3421082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000826500
—
FL
Enumeration date
02/27/2006
Last updated
05/01/2023
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