Gary Goodenow in Daytona Beach - Obstetrics & Gynecology

Gary Goodenow - NPI 1346309416

Gary Goodenow is a Obstetrics & Gynecology in Daytona Beach, Florida. Gary Goodenow practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Gary Goodenow is 1346309416. The last update date is 2010-04-05.

Gary Goodenow's current location address is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862544121 and fax number 3862584802. The mailing address for Gary Goodenow is 303 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Goodenow
Address 303 N Clyde Morris Blvd, Daytona Beach, Florida
Phone Number 3862544121
Fax Number 3862584802
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346309416
Provider Enumeration Date 2006-12-06
Last Updated Date 2010-04-05

Provider Mailing Address Detail

Address 303 N Clyde Morris Blvd
City Daytona Beach
State Florida (FL)
Post Code 321142709
Phone Number 3862544121
Fax Number 3862584802

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No ME44693
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
252074500 FL --
ME44693 FL STATE MEDICAL LICENSE

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FAQs about Gary Goodenow

What is the unique 10-digit identification code assigned to Gary Goodenow by the Centers for Medicare & Medicaid Services?

The Gary Goodenow has been issued the NPI (National Provider Identifier) 1346309416, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Gary Goodenow is located?

The Gary Goodenow is situated at the following address: 303 N Clyde Morris Blvd, Daytona Beach, FL, 321142709.

What is Gary Goodenow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gary Goodenow is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.

On what date did Gary Goodenow receive its 1346309416 assignment from the Centers for Medicare & Medicaid Services?

The Gary Goodenow was assigned its 1346309416 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Gary Goodenow's details last updated?

The information pertaining to the Gary Goodenow, including its address, specialty, and other details, was most recently updated on 2010-04-05.

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