MARY LISA GOODMAN

NEW PORT RICHEY, FL
NPI1265105803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  11014405)
Enumeration Date2021-07-29
Last Update Date2021-07-29
Business Address
MARY LISA GOODMAN Nurse Practitioner
1807 SHORT BRANCH DR STE 102
NEW PORT RICHEY, FL 34655-4424
Phone number: 727-376-3547
Mailing Address
MARY LISA GOODMAN Nurse Practitioner
4404 W BALLAST POINT BLVD
TAMPA, FL 33611-5602
Phone number: 813-895-4727
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