Goodfellow, Ross John

Goodfellow, Ross John is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 503, Cocoa Beach FL 32931-3577. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Goodfellow, Ross John can be contacted via phone (321) 434-6650.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Suite 503 Cocoa Beach FL 32931-3577
Phone: (321) 434-6650
Fax: (321) 868-8396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X OS10988 Florida

Profile Details

NPI number 1992765044
LBN Legal business name Goodfellow, Ross John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 5th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992765044 NPPES
Florida Other DO109Y MEDICARE
Florida MEDICAID 002674000 MEDICARE

Popular Providers