R Thad Goodwin MD PA
NPI #1285813410 in Fort Myers, Florida
Provider Information
- NPI Number
- 1285813410
- Entity Type
- Organization
- Organization Name
- R Thad Goodwin MD PA
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Oct 24, 2007
- Last Updated
- Oct 4, 2011
Practice Location
- Address
- 1510 ROYAL PALM SQUARE BLVD
- Address 2
- STE 106
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33919-1068
- Phone
- (239) 939-3937
Authorized Official
- Name
- ROBIN THAD GOODWIN, M.D.
- Title
- PRESIDENT
- Phone
- (239) 939-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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