Provider Demographics
NPI:1356305783
Name:GOODMAN, NEIL F (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:F
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9150 SW 87TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2319
Mailing Address - Country:US
Mailing Address - Phone:305-595-6855
Mailing Address - Fax:305-595-4846
Practice Address - Street 1:9150 SW 87TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2319
Practice Address - Country:US
Practice Address - Phone:305-595-6855
Practice Address - Fax:305-595-4846
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2010-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0021486207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL91910Medicare ID - Type Unspecified
FLD59859Medicare UPIN