F Mark Goodwin Md Pa

NPI 1194801316 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1194801316
Enumeration Date 10/31/2006
Last Updated 04/12/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDERICK MARK FREDERICK
Position PRESIDENT
Phone (863) 688-8401
Fax (863) 682-3659
Practice Location
2000 E EDGEWOOD DR
SUITE 110
LAKELAND FL, 33803-3653, US
Phone (863) 688-8401
Fax (863) 682-3659
Business Location
PO BOX 907
LAKELAND FL, 33802-0907, US
Phone (863) 688-8401
Fax (863) 682-3659
Toxanomy
Taxonomy Code 207X00000X
License State
License Number
Remove 1194801316 NPI Number
 

According to our database, F Mark Goodwin Md Pa NPI is 1194801316, taxonomy code is 207X00000X F Mark Goodwin Md Pa physically located at 2000 E Edgewood Dr, Lakeland FL, 33803-3653. NPI Number 1033115704 has the healthcare provider type.

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1194801316 NPI number is provided on an as is basis without warranty of any kind. 1194801316 is maintained by the National Plan & Provider Enumeration System. The contents of F Mark Goodwin Md Pa are for informational purposes only.