Charles Goodnough in Ocoee - Physician Assistant
Charles Goodnough - NPI 1578509865
Charles Goodnough is a Physician Assistant in Ocoee, Florida. Charles Goodnough practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Goodnough is 1578509865. The last update date is 2015-09-24.
Charles Goodnough's current location address is 2606 Rew Cr, Ocoee, Florida. You can contact this provider via phone number 4076498585 and fax number 4076490151. The mailing address for Charles Goodnough is 2606 Rew Cr, Ocoee, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles Goodnough |
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Address | 2606 Rew Cr, Ocoee, Florida |
Phone Number | 4076498585 |
Fax Number | 4076490151 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1578509865 |
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Provider Enumeration Date | 2006-06-22 |
Last Updated Date | 2015-09-24 |
Provider Mailing Address Detail
Address | 2606 Rew Cr |
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City | Ocoee |
State | Florida (FL) |
Post Code | 34761 |
Phone Number | 4076498585 |
Fax Number | 4076490151 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9101745 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Can you provide the Charles Goodnough's physical address?
The Charles Goodnough is physically located at 2606 Rew Cr, in the city of Ocoee, FL, with the postal code 34761.
Could you please provide the complete street address where Charles Goodnough is physically located?
The Charles Goodnough is physically situated at the following address: 2606 Rew Cr, Ocoee, FL, 34761.
What is Charles Goodnough's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Goodnough is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Charles Goodnough receive its 1578509865?
The Charles Goodnough was issued its 1578509865 on 2006-06-22, which is the date when the organization was assigned this unique identifier.
On what date did the Charles Goodnough receive its 1578509865 assignment from the Centers for Medicare & Medicaid Services?
The Charles Goodnough was assigned its 1578509865 by the Centers for Medicare & Medicaid Services on 2006-06-22.