Individual
MRS. ANGELA MARIE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 NE 12TH ST, CAPE CORAL, FL 33909-1719
(239) 772-8166
Mailing address
1614 NE 12TH ST, CAPE CORAL, FL 33909-1719
(239) 772-8166
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684090696
—
FL
Enumeration date
07/01/2008
Last updated
07/21/2022
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