Edward Clair Good, RNFA
Registered Nurse, Registered Nurse First Assistant in Lakeland, FL. Individual provider (NPI-1).
NPI number1720054109
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1720054109
- Entity type
- Individual (NPI-1)
- Name
- Edward Clair Good
- Credential
- RNFA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Certification date
- May 1, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN3421082 | FL | Yes |
| 163W00000X | Registered Nurse | RN3421082 | FL |
Practice location
1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone 863-687-1321 · Fax 863-284-1730
Mailing address
1324 Lakeland Hills BlvdAttn: Managed Care Dept.
Lakeland, FL 33805
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