Individual
DR. GARY A GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 W SEMINOLE BLVD, CENTRAL FLORIDA REGIONAL HOSPITAL, DEPT OF EMERG. MED., SANFORD, FL 32771-6743
(407) 321-4500
Mailing address
1401 W SEMINOLE BLVD, CENTRAL FLORIDA REGIONAL HOSPITAL, DEPT OF EMERG. MED., SANFORD, FL 32771-6743
(407) 321-4500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
231673
NY
207P00000X
Emergency Medicine Physician
Primary
ME95652
FL
Other
Enumeration date
05/16/2006
Last updated
01/07/2016
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