DOCTORS GOODWILL FOUNDATION, INC
NPI 1124679436
Clinic/Center - Community Health in Titusville, FL

Active since September 27, 2019CLIA 10D2326374 · Waiver
123 S PARK AVE, TITUSVILLE, FL 32796(321) 567-4869(321) 567-4874 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Doctors Goodwill Foundation, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCTORS GOODWILL FOUNDATION, INC (NPI 1124679436) is a healthcare organization registered as a community health in Titusville, Florida and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Kantilal Bhalani, Director, as its authorized official.

NPPES Registry Identity

NPI1124679436
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameDOCTORS GOODWILL FOUNDATION, INC
Location Address123 S PARK AVETitusville, FL 32796-3377
Mailing Address3 Indian River Ave Apt 1001Titusville, FL 32796-5821 · (321) 298-5531
Fax(321) 567-4874
Organization SubpartNo
Authorized OfficialKantilal BhalaniDirector · (321) 298-5531
Enumeration DateSeptember 27, 2019
NPI 1124679436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
123 S PARK AVE, Titusville, FL 32796

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2326374

Doctors Goodwill Foundation, Inc · Tampa, FL
Active · expires Jul 1, 2027
CLIA Number10D2326374
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorKantilal Bhalani
Laboratory Phone(321) 298-5531
Laboratory LocationDoctors Goodwill Foundation, Inc16594 N Dale Mabry Hwy, Tampa, FL 33618
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
123 S PARK AVE
TITUSVILLE, FL 32796
Psychiatry & Neurology (Neurology)
123 S PARK AVE
TITUSVILLE, FL 32796
Internal Medicine
123 S PARK AVE
TITUSVILLE, FL 32796

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doctors Goodwill Foundation, Inc's NPI number?

The NPI number for Doctors Goodwill Foundation, Inc is 1124679436. It was assigned to this organization in the NPPES registry on September 27, 2019.

Where is Doctors Goodwill Foundation, Inc located?

Doctors Goodwill Foundation, Inc is located at 123 S Park Ave, Titusville, FL 32796. The listed phone number is (321) 567-4869.

What is Doctors Goodwill Foundation, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Doctors Goodwill Foundation, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2326374) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Doctors Goodwill Foundation, Inc was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.