Individual
IRA J GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W GORE ST, SUITE 406, ORLANDO, FL 32806-1044
(407) 210-1320
(321) 202-2582
Mailing address
100 W GORE ST, SUITE 406, ORLANDO, FL 32806-1044
(407) 210-1320
(321) 202-2582
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME41137
FL
Other
Enumeration date
01/24/2006
Last updated
09/29/2020
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