Individual
DR. KATHY E. GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4800 LINTON BLVD, SUITE E300, DELRAY BEACH, FL 33445-6584
(757) 268-5147
Mailing address
1141 DELRAY LAKES DR, DELRAY BEACH, FL 33444-1783
(757) 268-5147
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS 5514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048523300
—
FL
Enumeration date
10/12/2005
Last updated
05/20/2008
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