Goddard, Kristopher Joseph Sean

Goddard, Kristopher Joseph Sean is an sole proprietor health care provider with primary practice located at 3915 Biscayne Blvd Ste 406 , Miami FL 33137-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Goddard, Kristopher Joseph Sean can be contacted via phone (305) 367-1176.

Contact Information

Primary practice address
3915 Biscayne Blvd Ste 406 Miami FL 33137-3737
Phone: (305) 367-1176
Fax: (877) 391-0039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS10979 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2081 Tennessee

Profile Details

NPI number 1780910364
LBN Legal business name Goddard, Kristopher Joseph Sean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2009
Last updated Feb 16th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780910364 NPPES
Florida Other 0045L BCBS

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