KRISTOPHER JOSEPH SEAN GODDARD (NPI# 1780910364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780910364 |
| Entity Type | Individual |
| Full Name | KRISTOPHER JOSEPH SEAN GODDARD |
| Credential | D.O. |
| Practice Address |
3915 Biscayne Blvd Ste 406 Miami FL 33137-3737 |
| Practice Telephone | 3053671176 |
| Practice Fax Number | 8773910039 |
| Mailing Telephone | 3053671176 |
| Mailing Fax Number | 8773910039 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2081 | TN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OS10979 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 0045L | 01 |
| Street Address |
3915 BISCAYNE BLVD STE 406 |
| City | MIAMI |
| State | FL |
| Zip Code | 33137-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034861 | Mariana Viera-navarro | Physician Assistant | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2005-06-27 |
| 1881250363 | Benjamin Kosubevsky | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2019-05-10 |
| 1629564463 | Osteopathic Regenerative Medicine Center, LLC | Neuromusculoskeletal Medicine & OMM | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2018-07-05 |
| 1568853380 | Joanna Torrens | Physical Medicine & Rehabilitation | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2015-02-16 |
| 1295140085 | Jesse Alan Morse | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2014-06-30 |
| 1568883536 | Osteopathic Center, LLC | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225524994 | Md Now Medical Centers Inc | Clinic/Center | 2310 Biscayne Blvd, Miami, FL 33137 | 2018-07-06 |
| 1851837629 | Cristina De Toro | Case Manager/Care Coordinator | 3550 Biscayne Blvd #508, Borinquen Medical Centers, Miami, FL 33137 | 2017-01-17 |
| 1780035907 | Freida Figueredo | Behavior Technician | 225 Ne 23rd St Apt 1205, Miami, FL 33137 | 2016-06-29 |
| 1740639152 | Mhb Consultants | Early Intervention Provider Agency | 225 Ne 23st #1205, Miami, FL 33137 | 2016-06-07 |
| 1558788836 | Ieshy Soley Pereira | Dentist | 350 Ne 24 St, #105, Miami, FL 33137 | 2014-03-25 |
| 1740619634 | Bay Point Medical Center, LLC | Emergency Medical Technician, Basic | 4770 Biscayne Boulevard, Suite 150, Miami, FL 33137 | 2013-11-01 |
| 1497007173 | 54th Street Medical Plaza Inc | Pediatrics | 5305 N.e. 2nd Avenue, Miami, FL 33137 | 2012-10-05 |
| 1760756225 | Variety Children's Hospital | Clinic/Center | 12246 Miramar Parkway, Miramar, FL 33137 | 2012-03-01 |
| 1912284902 | Fernando S Roy | Pharmacist | 480 N.e. 30 St, Unit 801, Miami, FL 33137 | 2011-11-04 |
| 1437456688 | Inner Reflection Therapy Center P.a. | Counselor | 2125 Biscayne Boulevard, Suite 550, Maimi, FL 33137 | 2011-02-24 |
| Find all providers in zip 33137 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972677649 | Osvaldo Diaz | Family Medicine | 2025 Sw 1st St, Miami, FL 33135-1602 | 2006-11-17 |
| 1730593708 | Alejandro Jose Centurion | Family Medicine | 15955 Sw 96th St Ste 401, Miami, FL 33196 | 2014-06-17 |
| 1568883536 | Osteopathic Center, LLC | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2013-12-18 |
| 1346534906 | Ivette Guttmann | Family Medicine | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2011-06-01 |
| 1194024695 | Annie L Casta | Family Medicine | 3100 Sw 62 Ave, Miami, FL 33155 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607484 | Black Stallion Walk-in and Exercise Medicine Clinics LLC | Family Medicine | 9955 Se Federal Hwy, Hobe Sound, FL 33455-4829 | 2020-04-13 |
| 1003371519 | Affordable Medical Clinic of Wellii | Family Medicine | 12773 Forest Hill Blvd Ste 1203, Wellington, FL 33414-4760 | 2019-02-08 |
| 1609391929 | Baptist Physician Group LLC | Family Medicine | 8880 Navarre Pkwy Ste 206, Navarre, FL 32566-3614 | 2017-08-08 |
| 1568997880 | Sports Medicine and Rehab Fitness | Family Medicine | 4405 Crooked Mile Rd, Merritt Island, FL 32952-6310 | 2017-04-24 |
| 1770037822 | Daniel Gonzalez | Family Medicine | 11050 Griffin Rd, Davie, FL 33328-3226 | 2016-08-06 |
| 1497174478 | John Sami Maarouf | Family Medicine | 301 Harbour Place Dr Unit 2007, Tampa, FL 33602-6808 | 2014-04-07 |
| 1487091393 | Michelle Henne | Family Medicine | 5535 Cypress Gardens Blvd Ste 270, Winter Haven, FL 33884-2241 | 2013-05-31 |
| 1053678151 | Jonathan Paul Bonnet | Family Medicine | 4830 Nw 43rd St, M194, Gainesville, FL 32606-4401 | 2012-04-13 |
| 1891092862 | Ozaki, Inc. | Family Medicine | 1600 S Ocean Dr Apt 17d, Hollywood, FL 33019-2427 | 2011-02-28 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
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| 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.