Individual
ADAM JACOB GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 CENTERVILLE RD STE 107, TALLAHASSEE, FL 32308-4638
(850) 431-5567
Mailing address
1401 CENTERVILLE RD STE 107, TALLAHASSEE, FL 32308-4638
(850) 431-5567
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1104115948
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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