Individual
COREY DANIEL GOODIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5352 LINTON BLVD, DELRAY BEACH, FL 33484-6514
(561) 498-4440
Mailing address
14763 QUAY LN, DELRAY BEACH, FL 33446-9640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9267084
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
9267084
FL
Other
Enumeration date
06/24/2011
Last updated
07/22/2011
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