GOODWILLUS MEDICAL CLINIC, LLC (NPI# 1922318948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922318948 |
| Entity Type | Organization |
| Organization Name | GOODWILLUS MEDICAL CLINIC, LLC |
| Other Organization Name | GOODWILLUS MEDICAL CLINIC LLC |
| Practice Address |
7037 State Road 52 Hudson FL 34667-6706 |
| Practice Telephone | 7278623600 |
| Practice Fax Number | 7278628899 |
| Mailing Telephone | 7278623600 |
| Mailing Fax Number | 7278628899 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | MRS. ADETOLA ADEYANJU-ISHOLA (PRESIDENT/CEO) |
| Authorized Official Telephone | 7278623600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME56548 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GOODWILLUS MEDICAL CLINIC LLC | Other Name - Individual/Organization |
| Street Address |
7037 STATE ROAD 52 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598132490 | Dwic of Tampa Bay, Inc | General Practice | 8849 State Road 52, Hudson, FL 34667-6742 | 2015-08-26 |
| 1831437557 | Dean Doering Ersig | General Practice | 13202 Word of Life Dr, Hudson, FL 34669-2466 | 2013-01-31 |
| 1770733644 | Michael Jacob Kretz | General Practice | 256 Troon Ct, Hudson, WI 54016-8057 | 2008-09-26 |
| 1386618932 | Marc J Yacht | General Practice | 18137 Branch Rd, Hudson, FL 34667-5839 | 2006-02-13 |
| 1598131708 | Rosario Tucci | General Practice | 13235 State Road 52 Ste 102, Hudson, FL 34669-2968 | 2015-08-12 |
| 1548367709 | Rajender Singh Lamba Md Pa | General Practice | 13028 County Line Rd, Hudson, FL 34667-6421 | 2006-09-20 |
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| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.