Goede, Timothy Justin
Goede, Timothy Justin is an sole proprietor health care provider with primary practice located at 6716 Nw 11Th Pl Ste 200 , Gainesville FL 32605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Goede, Timothy Justin can be contacted via phone (352) 331-9729.Contact Information
Primary practice address
6716 Nw 11Th Pl Ste 200
Gainesville FL 32605
Phone: (352) 331-9729
Fax: (352) 331-0136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME135579 | Florida |
Profile Details
| NPI number | 1316207202 |
|---|---|
| LBN Legal business name | Goede, Timothy Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2012 |
| Last updated | Mar 8th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316207202 | NPPES |
| Other | JK894 | MEDICARE | |
| Other | NFZVZ | MEDICARE | |
| MEDICAID | 024778300 | MEDICARE | |
| Other | JK893 | MEDICARE |
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