Donald Joseph Goddard, MD | |
143 Executive Cir, Daytona Beach, FL 32114-1180 | |
(727) 824-0780 | |
(813) 514-8891 |
Full Name | Donald Joseph Goddard |
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Gender | Male |
Speciality | Family Medicine |
Location | 143 Executive Cir, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134229412 | NPI | - | NPPES |
004381401 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35062914G (Ohio) | Secondary |
207Q00000X | Family Medicine | ME111388 (Florida) | Primary |
Entity Name | Archwell Health Medical Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497453450 PECOS PAC ID: 5597127456 Enrollment ID: O20230809004201 |
Mailing Address | Practice Location Address |
---|---|
Donald Joseph Goddard, MD 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (727) 824-0780 | Donald Joseph Goddard, MD 143 Executive Cir, Daytona Beach, FL 32114-1180 Ph: (727) 824-0780 |
Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165 | |
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944 | |
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891 | |
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564 | |
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571 | |
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507 | |
Dr. Jose Omar Burgos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 Fax: 386-425-7545 |