Individual
ERIC M GODREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 NE MIAMI GARDENS DR, #115, MIAMI, FL 33179-4707
(305) 947-4461
Mailing address
PO BOX 491316, KEY BISCAYNE, FL 33149-7316
(305) 298-1333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME83134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263226800
—
FL
Enumeration date
07/05/2006
Last updated
11/23/2009
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