Individual
TAMICHA ANDERSON GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 E DIXIE AVE STE 805, LEESBURG, FL 34748-5994
(352) 750-5001
(352) 750-8401
Mailing address
601 E DIXIE AVE STE 805, LEESBURG, FL 34748-5994
(352) 750-5001
(352) 750-8401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3327192
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ME117251
FL
363LF0000X
Family Nurse Practitioner
3327192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101150600
—
FL
Enumeration date
08/21/2018
Last updated
03/13/2025
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