SELBOURNE C GOODE (NPI# 1730126095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730126095 |
| Entity Type | Individual |
| Full Name | SELBOURNE C GOODE |
| Credential | MD |
| Practice Address |
603 N Flamingo Rd Ste 255 Pembroke Pines FL 33028 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657900 |
| Practice Fax Number | 9542760133 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME 0077286 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256577300 | 05 |
| Street Address |
603 N FLAMINGO RD STE 255 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055868 | Patricio Rosa Sierra | Surgery | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2005-12-29 |
| 1821434267 | Inbar Saporta | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2013-05-13 |
| 1427206507 | Minaba A Wariboko | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2008-09-03 |
| 1386816874 | Alian Aguila | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028-1013 | 2008-03-25 |
| 1306885314 | Michael Entenberg | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2006-06-05 |
| 1104863364 | Bassel B Ibrahim | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028-1013 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891199535 | Kashmira Bhadha Md Pllc | Internal Medicine | 1779 N University Dr Ste 204, Pembroke Pines, FL 33024-0929 | 2014-10-09 |
| 1225446271 | Julio Peguero Moreno | Internal Medicine | 2301 N University Dr Ste 211, Pembroke Pines, FL 33024 | 2014-07-22 |
| 1841551785 | Melvin D Ross Md Pa | Internal Medicine | 252 S Flamingo Rd, Pembroke Pines, FL 33027-1721 | 2012-06-07 |
| 1104930379 | South Florida Cardiology Associates Pa | Internal Medicine | 1380 S Hiatus Rd, Pembroke Pines, FL 33025-3551 | 2006-08-18 |
| 1194764035 | Denis Mcmillan | Internal Medicine | 2301 North University Drive, Suite 112, Pembroke Pines, FL 33024 | 2006-06-06 |
| 1801834981 | Barry Howard Schiff | Internal Medicine | 17009 Pines Blvd, Pembroke Pines, FL 33027-1003 | 2006-06-02 |
| 1245277011 | Roy Whittingham | Internal Medicine | 10071 Pines Blvd Bldg B, Suite A, Pembroke Pines, FL 33024 | 2006-06-01 |
| 1609853084 | Perry Krichmar | Internal Medicine | 1380 South Hiatus Road, Pembroke Pines, FL 33025 | 2005-12-28 |
| 1730163544 | Narendra R Upadhyaya | Internal Medicine | 2301 N University Dr, Ste 106, Pembroke Pines, FL 33024-3617 | 2005-12-05 |
| 1104822261 | Alvaro M Murcia | Internal Medicine | 18503 Pines Blvd, Suite 303, Pembroke Pines, FL 33029 | 2005-06-23 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
Please comment or provide details below to improve the information on SELBOURNE C GOODE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.