Doctors Goodwill Foundation, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

DOCTORS GOODWILL FOUNDATION, INC

Practice address

123 S Park Ave
Titusville, FL 32796-3377

Phone

(321) 567-4869

Fax

(321) 567-4874

NPI assigned

Sep 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kantilal Bhalani, MD

Title

Director

Phone

(321) 298-5531

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1124679436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 INDIAN RIVER AVE APT 1001",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327965821",
            "telephone_number": "321-298-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S PARK AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963377",
            "telephone_number": "321-567-4869",
            "fax_number": "321-567-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS GOODWILL FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "BHALANI",
        "authorized_official_first_name": "KANTILAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-298-5531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Dilling, CD
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• DJ Sustainable Progress Consulting LLC
• DLT Anesthesia LLC
• Kaitlin Dobrowolski, PT, DPT
• Lara Dondero, PTA
• Julia Kendall Donnelly, LCSW
• Megan Marie Doran, M.A., CCC-SLP
• Lori Jean Dorr
• Kelly Jeanne Dorsey, P.T.

• Community Health Clinic/Center in Titusville, FL
• Providers in Titusville, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.