MEDICARE: DR. MATTHEW D GOODWIN M.D.

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	208200000X	Plastic Surgery Physician	ME97906	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	AI701Z	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	38257	OTHER	BCBS GROUP NUMBER
3	16548	OTHER	BCBS NON-PAR #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841407301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW D GOODWIN M.D.

Provider Business Mailing Address
First Line	:	7280 W PALMETTO PARK RD STE 305
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3401
Country	:	US
Telephone Number	:	561-393-8800
Fax Number	:	561-393-6202

Provider Business Practice Location Address
First Line	:	7280 W PALMETTO PARK RD STE 305
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3401
Country	:	US
Telephone Number	:	561-393-8800
Fax Number	:	561-393-6202

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	02/12/2026

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Directions to “ DR. MATTHEW D GOODWIN M.D.” Practice Location

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