Goodwin, Karen Eugenia
Goodwin, Karen Eugenia is an individual health care provider with primary practice located at 206 2Nd St E , Bradenton FL 34208-1042. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goodwin, Karen Eugenia can be contacted via phone (941) 746-5111.Contact Information
Primary practice address
206 2Nd St E
Bradenton FL 34208-1042
Phone: (941) 746-5111
Fax: (941) 745-7233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9101974 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101974 | Florida |
Profile Details
| NPI number | 1699737320 |
|---|---|
| LBN Legal business name | Goodwin, Karen Eugenia |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1699737320 | NPPES |
| Florida | MEDICAID | 291502200 | |
| Florida | Other | Y0RE1 | |
| Florida | Other | P00092763 |
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