| Goodwillus Medical Clinic Llc | |
|
7037 State Road 52 Hudson FL 34667-6706 | |
| (727) 862-3600 | |
| (727) 862-8899 |
| Full Name | Goodwillus Medical Clinic Llc |
|---|---|
| Speciality | General Practice |
| Location | 7037 State Road 52, Hudson, Florida |
| Authorized Official Name and Position | Adetola Adeyanju-ishola (PRESIDENT/CEO) |
| Authorized Official Contact | 7278623600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwillus Medical Clinic Llc 7037 State Road 52 Hudson FL 34667-6706 Ph: (727) 862-3600 | Goodwillus Medical Clinic Llc 7037 State Road 52 Hudson FL 34667-6706 Ph: (727) 862-3600 |
| NPI Number | 1922318948 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922318948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME56548 (Florida) | Primary |
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