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Contact Information

TIMOTHY J GOEDE, MD
6716 NW 11TH PL STE 200
GAINESVILLE, FL32605
 Phone: 352-331-9729
 Fax: 352-331-0136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for TIMOTHY J GOEDE · (Male)

NPI Number 1316207202
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2012
Last updated 03/08/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME135579
  • FL Medicaid 024778300
  • Other JK893 MEDICARE
  • Other JK894 MEDICARE
  • FL Other NFZVZ BCBS
Hospital affiliation(s)
  • LAKE CITY MEDICAL CENTER - (Acute Care)
    340 NW COMMERCE DR
    LAKE CITY, FL 32055
  • NORTH FLORIDA REGIONAL MEDICAL CENTER - (Acute Care)
    6500 NEWBERRY RD
    GAINESVILLE, FL 32605
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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