Goodwin, Salvatore R.

Goodwin, Salvatore R. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Goodwin, Salvatore R. can be contacted via phone (904) 390-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 390-3600
Fax: (904) 396-1630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME35415 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME35415 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME35415 Florida

Profile Details

NPI number 1972514404
LBN Legal business name Goodwin, Salvatore R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 20th, 2017 - about 7 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 1972514404 NPPES
Georgia MEDICAID 000213804B
Georgia MEDICAID 065144301

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