Goddard One Medical Pllc

NPI #1316447618 in Lithia, Florida

Provider Information

NPI Number: 1316447618
Entity Type: Organization
Organization Name: Goddard One Medical Pllc
Primary Specialty: Family Medicine
Enumeration Date: Feb 14, 2018
Last Updated: Feb 14, 2018

Practice Location

Address: 5831 PARKSET DR
City: Lithia
State: Florida
ZIP Code: 33547-4892
Phone: (440) 313-7810

Authorized Official

Name: DONALD GODDARD
Title: OWNER
Phone: (440) 313-7810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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