Goodwin, Robin Thad
Goodwin, Robin Thad is an sole proprietor health care provider with primary practice located at 1510 Royal Palm Square Blvd Ste 106, Fort Myers FL 33919-1068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goodwin, Robin Thad can be contacted via phone (239) 939-3937.Contact Information
Primary practice address
1510 Royal Palm Square Blvd Ste 106
Fort Myers FL 33919-1068
Phone: (239) 939-3937
Fax: (239) 275-8045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME0037950 | Florida |
Profile Details
| NPI number | 1558353748 |
|---|---|
| LBN Legal business name | Goodwin, Robin Thad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 4th, 2011 - about 13 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 | 1558353748 | NPPES |
| Florida | MEDICAID | 042931700 |
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