Individual
AARON GODSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0410
Mailing address
1801 LEE RD STE 165, WINTER PARK, FL 32789-2127
(407) 975-0410
(407) 975-0411
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
A80134
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME96908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276376100
—
FL
Enumeration date
06/21/2006
Last updated
01/29/2018
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