Goodwin, Salvatore R.
Goodwin, Salvatore R. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Goodwin, Salvatore R. can be contacted via phone (904) 390-3600.Contact Information
Primary practice address
807 Childrens Way
Jacksonville FL 32207-8426
Phone: (904) 390-3600
Fax: (904) 396-1630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME35415 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME35415 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME35415 | Florida |
Profile Details
| NPI number | 1972514404 |
|---|---|
| LBN Legal business name | Goodwin, Salvatore R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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 | 1972514404 | NPPES |
| Georgia | MEDICAID | 000213804B | |
| Georgia | MEDICAID | 065144301 |
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