Search › Florida › 207R00000X

Glenn Goodhart, M.D

NPI 1568481356 · on the registry since 2006 · sole proprietor

Practice

Address
40100 Highway 27
Davenport, FL 33837
Phone
(863) 422-4971
Fax
(863) 419-2264
Organisation at this address
Lomba Md Pa
Haines City Hma Llc
Radiology Consultants, Pa
Adventhealth Polk North Inc
Ridgewood Emergency Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Additional practice sites

  • 2142 N Cove Blvd, Toledo, OH
  • 250 N Wickham Rd, Melbourne, FL
  • 2675 N Decatur Rd, Decatur, GA
  • 1412 Milstead Ave Ne, Conyers, GA
  • 801 5th St, Sioux City, IA

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
174400000X
207R00000X
207R00000X
208M00000X
Licence states on file
IA, GA, FL, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida