Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS14282 | FL |
NPI | 1023409885 |
---|---|
Provider Name | Dr. Patricia Brooks Goodwin |
First Address | The Woodlands, TX 77380-1480 |
Second Address | Plantation, FL 33313-4406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2015 |
Last Update Date | 12/10/2020 |