NORMA LETICIA GOODRICH (NPI# 1669087722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669087722 |
| Entity Type | Individual |
| Full Name | NORMA LETICIA GOODRICH |
| Credential | AG08200038 |
| Practice Address |
19265 Nw 252nd St Okeechobee FL 34972-6966 |
| Practice Telephone | 8636103530 |
| Mailing Telephone | 8636103530 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
11008988 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
19265 NW 252ND ST |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34972-6966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332439 | Jennifer Elisha Tillman | Case Manager/Care Coordinator | 304 Nw 5th St Plaza 300, Okeechobee, FL 34972 | 2020-07-01 |
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1720445414 | Anchor Dental Okeechobee, Pa | Dentist | 608 North Parrot Ave, Okeechobee, FL 34972 | 2016-01-26 |
| 1538436522 | Everglades Pediatric Dentistry, LLC | Dentist | 2029 Highway 441 North, Okeechobee, FL 34972 | 2011-11-19 |
| 1023301009 | Casandra Denise Wait | Developmental Therapist | 314 Nw 5th Street, Suite 314, Okeechobee, FL 34972 | 2011-05-24 |
| 1710205224 | Jeannie Moore Anderson | Mechanotherapist | 1865 Nw 5th St, Okeechobee, FL 34972 | 2010-05-07 |
| 1619128162 | Frances Elizabeth Fongkin | Nurse Practitioner | 208 Ne 19th Drive, Okeechobee, FL 34972 | 2008-10-02 |
| 1356528210 | Raulerson Gyn LLC | Obstetrics & Gynecology | 1713 Highway 441 North, Suite F, Okeechobee, FL 34972 | 2008-01-23 |
| 1952529745 | Michael A Garvin Dpm Pa | Podiatrist | 235 Ne 19th Drive, Okeechobee, FL 34972 | 2007-04-24 |
| 1730306473 | George Lee Roberson | Social Worker | 16800 N Hwy 441, Okeechobee, FL 34972 | 2007-04-20 |
| Find all providers in zip 34972 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| 1396151809 | Susana Gonzalez, M.d., P.a. | Internal Medicine | 1225 Alton Road, Miami Beach, FL 33139 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
| City | OKEECHOBEE |
| Zip Code | 34972 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.