Individual
MRS. MARIA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 921-0330
(850) 921-0283
Mailing address
1801 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 921-0330
(850) 921-0283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810012801
—
FL
Enumeration date
04/25/2012
Last updated
04/25/2012
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