Goodman, Joyce M

Goodman, Joyce M is an individual health care provider with primary practice located at 7751 Baymeadows Rd E Ste H , Jacksonville FL 32256-5836. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Goodman, Joyce M can be contacted via phone (904) 425-6963.

Contact Information

Primary practice address
7751 Baymeadows Rd E Ste H Jacksonville FL 32256-5836
Phone: (904) 425-6963
Fax: (904) 674-0155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101604 Florida

Profile Details

NPI number 1376514091
LBN Legal business name Goodman, Joyce M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 25th, 2020 - about 5 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 1376514091 NPPES
Florida Other Y0Q73 BCBS
Florida MEDICAID 020808200 BCBS
Florida Other LP713 BCBS

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