Provider Demographics
NPI:1447351184
Name:GOODMAN, STEVEN I (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:I
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5130 LINTON BLVD
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6596
Mailing Address - Country:US
Mailing Address - Phone:561-495-0600
Mailing Address - Fax:561-495-1301
Practice Address - Street 1:5130 LINTON BLVD
Practice Address - Street 2:SUITE F-1
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6596
Practice Address - Country:US
Practice Address - Phone:561-495-0600
Practice Address - Fax:561-495-1301
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 68574207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLW95349Medicare UPIN
FL27236AMedicare ID - Type Unspecified