Goodman, Jeffrey Alan
Goodman, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 1879 Nightingale Ln Ste C2 , Tavares FL 32778-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goodman, Jeffrey Alan can be contacted via phone (352) 742-7776.Contact Information
Primary practice address
1879 Nightingale Ln Ste C2
Tavares FL 32778-4363
Phone: (352) 742-7776
Fax: (352) 742-7750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME66294 | Florida |
Profile Details
| NPI number | 1871698613 |
|---|---|
| LBN Legal business name | Goodman, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Mar 27th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871698613 | NPPES |
| Florida | Other | 10008741 | MEDICARE RAILROAD |
| Florida | Other | 25425 | MEDICARE RAILROAD |
| Florida | MEDICAID | 375405700 | MEDICARE RAILROAD |
Popular Providers
-
Baskar, Soundarapandian
1703 Mayo Dr , Tavares FL 32778-4307 -
Stelzer, Frederic A
1501 N Cedar Crest Blvd Suite 110, Allentown PA 18104-2309 -
Berger, Jeffrey N
1 Dakota Dr Suite 310, New Hyde Park NY 11042-1119 -
Gregory, David Max
3435 Nw 56Th St Ste 314, Oklahoma City OK 73112-4414 -
Willis, Samuel M
2739 Laurel St 1-A, Columbia SC 29204-2028 -
Ramaiah, Bharathi
1703 Mayo Dr , Tavares FL 32778-4307 -
Roth, Ronald
1824 Salk Ave , Tavares FL 32778-4300 -
Karagiannis, John P.
303 S Nappanee St , Elkhart IN 46514-2066