Healthcare Provider Details

I. General information

NPI: 1104746643
Provider Name (Legal Business Name): RINDY GOOD
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: RINDY LEWIS

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 INDIAN RIVER BLVD APT C104
VERO BEACH FL
32960-5249
US

IV. Provider business mailing address

1901 INDIAN RIVER BLVD APT C104
VERO BEACH FL
32960-5249
US

V. Phone/Fax

Practice location:
  • Phone: 321-704-6062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: