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NPI Code Detail

MEDICARE: DAVID GOUDIE

MEDICARE: DAVID GOUDIE
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
1183500000XPharmacistPS18334FL

General Provider Information

NPI Number : 1629348321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GOUDIE
Provider Business Mailing Address
First Line : 2705 HIGHWAT 44 W.
Second Line :
City : INVERNESS
State : FL
Zip : 34453
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4029 S SUNCOAST BLVD
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-1175
Country : US
Telephone Number : 352-628-3898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 01/11/2012

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Directions to “ DAVID GOUDIE ” Practice Location

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