Individual provider · Type 1 NPI

Jon-Keyth Craig Godwin, OD

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1548038227 Active

Practice location

4413 Town Center Pkwy
Jacksonville, FL 32246-8568

Call (904) 998-9822 Map

Mailing address

201 Johnson Ave SW
Live Oak, FL 32064-4935

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1548038227

Jon-Keyth Craig Godwin, OD's National Provider Identifier is 1548038227, issued on Dec 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 13, 2023.