Individual
JERRY A GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 BROTHER GEENEN WAY, SUITE 375, SARASOTA, FL 34236-7102
(941) 556-3220
(941) 955-8214
Mailing address
1900 BROTHER GEENEN WAY, SUITE 375, SARASOTA, FL 34236-7102
(941) 556-3220
(941) 955-8214
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LL782
FL
Other
Enumeration date
05/09/2006
Last updated
08/15/2019
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