| Goodendos Llc | |
|
41 Fairpoint Dr Ste B Gulf Breeze FL 32561-4380 | |
| (850) 733-3636 | |
| (448) 444-5678 |
| Full Name | Goodendos Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 41 Fairpoint Dr Ste B, Gulf Breeze, Florida |
| Authorized Official Name and Position | Michael Arthur Hennigan (OWNER) |
| Authorized Official Contact | 8507733636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodendos Llc 41 Fairpoint Dr Ste B Gulf Breeze FL 32561-4380 Ph: (850) 733-3636 | Goodendos Llc 41 Fairpoint Dr Ste B Gulf Breeze FL 32561-4380 Ph: (850) 733-3636 |
| NPI Number | 1265194708 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265194708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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