Ira J Goodman | Orlando, FL • PECOS Search

Ira J Goodman

Neurological Surgery

Allopathic & Osteopathic Physicians

100 W Gore St, Suite 406, Orlando, FL 32806-1044

PECOS Enrollment

Based on the most recent information from CMS, provider Ira J Goodman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1841260734
Provider Type
Individual
Full Name
Goodman, Ira J
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/24/2006
Last Updated
9/29/2020

Contact Information

Practice Location

100 W Gore St, Suite 406, Orlando, FL 32806-1044

(321) 202-2582

Mailing Location

100 W Gore St, Suite 406, Orlando, FL 32806-1044

(321) 202-2582

Provider Taxonomies

Code	Description	License
Code 207T00000X Primary	Description Neurological Surgery Allopathic & Osteopathic Physicians	License ME41137 Florida