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Individual

DR. MATTHEW D GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4601 N FEDERAL HWY, BOCA RATON, FL 33431-5133
(561) 362-8000
(561) 447-6806
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME97906
FL
208200000X
Plastic Surgery Physician
Primary
ME97906
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16548
BCBS NON-PAR #
01
38257
BCBS GROUP NUMBER
01
AI701Z
MEDICARE PTAN
Enumeration date
05/16/2007
Last updated
03/05/2026
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