Healthcare Provider Details

I. General information

NPI: 1710134788
Provider Name (Legal Business Name): GOOD BUSINESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 BEE RIDGE RD
SARASOTA FL
34239-7115
US

IV. Provider business mailing address

2830 BEE RIDGE RD
SARASOTA FL
34239-7115
US

V. Phone/Fax

Practice location:
  • Phone: 941-927-1234
  • Fax: 941-921-0043
Mailing address:
  • Phone: 941-927-1234
  • Fax: 941-921-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CLAUDE JOHN MASON
Title or Position: OWNER
Credential: MD
Phone: 941-927-1234