Female

Mrs. Joyce M. Goodman P.A.

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Mrs. Joyce M Goodman P.A.

NPI Number

1376514091

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/30/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9101604

Contact
Information

Purpose

Mailing
Location

Address

2675 WINKLER AVE FL 2
7751 BAYMEADOWS RD E STE H

City

Fort Myers
Jacksonville

State

FL
FL

Postal Code

33901-9342
32256-5836

Country

US
US

Telephone Number

(877) 856-3774
(904) 425-6963

Identifiers

Identifier

Y0Q73
020808200
LP713

Identifier State

FL
FL
FL

Identifier Issuer

BCBS
Unknown
MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/25/2020

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