DR. ANGELA CHRISTINE GOODWIN MD NPI 1649590068

NPI Information

NPI: 1649590068
Provider Name: DR. ANGELA CHRISTINE GOODWIN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11715 ORPINGTON ST STE A
TLC PEDIATRIC AND ADOLESCENT MEDICINE IN ASSOC WITH NEM
ORLANDO, FL
ZIP 32817
Phone: (407) 380-9115
Get Directions

DR. Angela Christine Goodwin, MD is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Angela Christine Goodwin, MD NPI is 1649590068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11715 ORPINGTON ST STE A
TLC PEDIATRIC AND ADOLESCENT MEDICINE IN ASSOC WITH NEM
ORLANDO, FL
ZIP 32817-600
Phone: (407) 380-9115
Fax: (407) 380-9189

The NPI 1649590068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2010 and was last updated on 11/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	ME114250	FLORIDA	No
2	208D00000X	General Practice	ME114250	FLORIDA	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program	TRN15002	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010875900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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