Goddard One Medical Pllc | |
5831 Parkset Dr Lithia FL 33547-4892 | |
(440) 313-7810 | |
Not Available |
Full Name | Goddard One Medical Pllc |
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Speciality | Family Medicine |
Location | 5831 Parkset Dr, Lithia, Florida |
Authorized Official Name and Position | Donald Goddard (OWNER) |
Authorized Official Contact | 4403137810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goddard One Medical Pllc 5831 Parkset Dr Lithia FL 33547-4892 Ph: () - | Goddard One Medical Pllc 5831 Parkset Dr Lithia FL 33547-4892 Ph: (440) 313-7810 |
NPI Number | 1316447618 |
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Provider Enumeration Date | 02/14/2018 |
Last Update Date | 02/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316447618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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