| Doctor Name: | DR. GORDON D. GOODMAN |
| NPI Number: | 1013907351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D. |
| License Number: | ME36216 |
| Business Practice Address: | 1106 Druid Rd S Suite 302 Clearwater, FL - 337563846 |
| Business Phone Number: | 7274413711 |
| Business Fax Number: | |
| Mailing Address: | Po Box 917368, ORLANDO |
| State: | FL |
| Postal Code: | 328910001 |
| Phone Number: | 7277939300 |
| Fax Number: | 7277930052 |
| NPI Enumeration Date: | 10/27/2005 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | ME36216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |