Individual
GREGORY P GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 N LEMANS BLVD, APT. # 4403, TAMPA, FL 33607-1122
(863) 660-1612
(888) 261-6141
Mailing address
2021 N LEMANS BLVD, APT. # 4403, TAMPA, FL 33607-1122
(863) 660-1612
(888) 261-6141
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME51214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04253
BLUE CROSS BLUE SHIELD
FL
01
—
1465681
CIGNA
FL
01
—
259137
AVMED
FL
01
—
5016004
AETNA
FL
01
—
P00409249
RAILROAD MEDICARE
FL
Enumeration date
03/10/2006
Last updated
12/08/2012
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