Katryna Goodman

Contractor · Eustis, FL

Individual Active NPI

NPI number 1417282492

Practice location

19111 Park Place Blvd
Eustis, FL 32736-7262
Phone
(317) 388-0800
Fax
(317) 388-0805

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NPI record

NPI
1417282492
Entity type
Individual (Type 1)
Enumeration date
October 9, 2009
Last updated
September 4, 2024
Certified
September 4, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X 009436 GA

About Katryna Goodman

Katryna Goodman is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 19111 Park Place Blvd, Eustis, FL 32736-7262. The NPI number 1417282492 was assigned on October 9, 2009 and the record was last updated on September 4, 2024.

Katryna Goodman lists a license in the registry: #009436 (GA) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katryna Goodman?

The NPI number is 1417282492.

What is the phone number of Katryna Goodman?

The phone number listed for the practice location is (317) 388-0800.

Where is Katryna Goodman located?

19111 Park Place Blvd, Eustis, FL 32736-7262.

What is the taxonomy code for Katryna Goodman?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.