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1427427921
CASEY GOODMAN
TAMPA, FL
NPI
1427427921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9220991)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- CASEY GOODMAN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 888-663-3488
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Mailing Address
-- CASEY GOODMAN
25925 CRIPPEN DR
LAND O LAKES, FL 34639-5726
Phone number: 813-486-6605
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