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NPI Code Detail

MEDICARE: MS. PAMELA DENISE GOODWIN-COLE MD

MEDICARE: MS. PAMELA DENISE GOODWIN-COLE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036076189IL

General Provider Information

NPI Number : 1306877329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA DENISE GOODWIN-COLE MD
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 305-628-6117
Fax Number :
Provider Business Practice Location Address
First Line : 2734 W 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-3937
Country : US
Telephone Number : 773-918-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 01/09/2020

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