| Doctor Name: | AIMEE TERESE GOODWIN |
| NPI Number: | 1356303259 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 006601 |
| Business Practice Address: | 15 Abbey Creek Ct C/o Usa Medical Services, P.c. East Islip, NY - 117302223 |
| Business Phone Number: | 8778725788 |
| Business Fax Number: | 8666987272 |
| Mailing Address: | Po Box 21724, Care Of Usa Medical Services, P.c. TAMPA |
| State: | FL |
| Postal Code: | 336221724 |
| Phone Number: | 8774682211 |
| Fax Number: | 8778684888 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 006601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |