Goodman, Maria

Goodman, Maria is an individual health care provider with primary practice located at 1801 Miccosukee Commons Dr , Tallahassee FL 32308-5433. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Goodman, Maria can be contacted via phone (850) 921-0330.

Contact Information

Primary practice address
1801 Miccosukee Commons Dr Tallahassee FL 32308-5433
Phone: (850) 921-0330
Fax: (850) 921-0283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1730447996
LBN Legal business name Goodman, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 12 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 1730447996 NPPES
Florida MEDICAID 810012801

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