Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH7834 | FL |
NPI | 1316036148 |
---|---|
Provider Name | Dr. David D Goodrich |
First Address | Miami, FL 33183-4631 |
Second Address | Miami, FL 33183-4631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 04/04/2014 |