Individual
RONALD GOODWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
C1-0008257
DE
207U00000X
Nuclear Medicine Physician
Primary
ME 101513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281368800
—
FL
Enumeration date
05/21/2007
Last updated
03/11/2026
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