Individual
DR. DEAN R GOODLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 CELEBRATION PL, SUITE 301, CELEBRATION, FL 34747-5433
(407) 566-1616
(407) 566-1617
Mailing address
PO BOX 470396, CELEBRATION, FL 34747-0396
(407) 566-1616
(407) 566-1617
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0058612
FL
207NS0135X
Procedural Dermatology Physician
ME0058612
FL
Other
Enumeration date
07/21/2006
Last updated
08/02/2012
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