MEDICARE: SANDRA GOODMAN

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
1	251J00000X	Nursing Care Agency	RN 9241725	FL

General Provider Information

NPI Number	:	1790977064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA GOODMAN

Provider Business Mailing Address
First Line	:	1425 SE SAN SOVINA TER
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5727
Country	:	US
Telephone Number	:	772-919-5592
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 SE SAN SOVINA TER
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5727
Country	:	US
Telephone Number	:	772-919-5592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	08/10/2007

Similar Medicare Providers

1790644805 — YANEXY GARCIA
Practice Location Address:

2372 SW NAOMI AVE
PORT SAINT LUCIE, FL
34953-5727

Practice Phone: 561-720-4460
Practice Fax:

1144186834 — I'ESHA HAYES
Practice Location Address:

5727 MISSOURI AVE STE 202
NEW PORT RICHEY, FL
34652-2736

Practice Phone: 858-617-9471
Practice Fax:

1124956701 — MAGNOLIA BLOOM WELLNESS LLC
Practice Location Address:

5727 MISSOURI AVE # 101
NEW PORT RICHEY, FL
34652-2735

Practice Phone: 727-624-8056
Practice Fax:

1134695257 — BRIDGET LONGNECKER LMHC
Practice Location Address:

9538 PATRICIAN DR
NEW PORT RICHEY, FL
34655-5727

Practice Phone: 727-207-5179
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

Directions to “ SANDRA GOODMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.