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Contact Information

LEAH GOEDECKE, DO
3301 COLLEGE AVE
DAVIE, FL33314-7796
 Phone: 954-262-9417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Athletic Trainer

2255A2300X
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Spinal Cord Injury Medicine

2081P0004X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LEAH GOEDECKE · (Female)

NPI # 1457974073
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/19/2020
Last updated 04/07/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • FL License # OS23159
  • MI License # DO3713
  • NV License # DO3713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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