Goode, Selbourne C

Goode, Selbourne C is an individual health care provider with primary practice located at 603 N Flamingo Rd Ste 255 , Pembroke Pines FL 33028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goode, Selbourne C can be contacted via phone (954) 265-7900.

Contact Information

Primary practice address
603 N Flamingo Rd Ste 255 Pembroke Pines FL 33028
Fax: (954) 276-0133
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME 0077286 Florida

Profile Details

NPI number 1730126095
LBN Legal business name Goode, Selbourne C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 19th, 2021 - 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 1730126095 NPPES
Florida MEDICAID 256577300

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