R Thad Goodwin Md Pa

LBN: R Thad Goodwin Md Pa
R Thad Goodwin Md Pa is an health care organization with primary practice located at 1510 Royal Palm Square Blvd Ste 106, Fort Myers FL 33919-1068. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. R Thad Goodwin Md Pa can be contacted via phone (239) 939-3937, or through Goodwin, Robin Thad via phone (239) 939-3937.

Contact Information

Primary practice address
1510 Royal Palm Square Blvd Ste 106 Fort Myers FL 33919-1068
Phone: (239) 939-3937
Fax: (239) 275-8045
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Robin Thad Doctor of Medicine (MD)
Phone: (239) 939-3937

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0037950 Florida

Profile Details

NPI number 1285813410
LBN Legal business name R Thad Goodwin Md Pa
DBA Doing business as
Authorized official Goodwin, Robin Thad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 4th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285813410 NPPES
Florida MEDICAID 042931700

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