JOHN GODDARD DO
NPI 1124768353
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 29, 2022

2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-2015(904) 639-2015 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John Goddard Do NPPES

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

JOHN GODDARD DO (NPI 1124768353) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1124768353

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN GODDARDCredential: DO

Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148

Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · Fax (904) 639-2015

Phone(904) 639-2015

Fax(904) 639-2015

Sole ProprietorNo

Enumeration DateMarch 29, 2022

Last NPPES UpdateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1124768353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 KINGSLEY AVE, Orange Park, FL 32073

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