Individual
DR. JEFFREY ALAN GOODMAN
Active
Individual
DR. JEFFREY ALAN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME66294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10008741
MEDICARE RAILROAD
FL
01
—
25425
BLUE CROSS
FL
05
—
375405700
—
FL
Enumeration date
09/14/2006
Last updated
03/27/2019
Update your record
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