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1285138768
BRIAN GOODMAN
ATLANTIS, FL
NPI
1285138768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: FL ME0161212)
Enumeration Date
2018-03-20
Last Update Date
2024-11-06
Business Address
BRIAN GOODMAN
5507 S CONGRESS AVE STE 140
ATLANTIS, FL 33462-1139
Phone number: 561-965-6685
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Mailing Address
BRIAN GOODMAN
5507 S CONGRESS AVE STE 140
ATLANTIS, FL 33462-1139
Phone number: 561-965-6685
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