OrganizationActive
Keisha Goodison DO, PA
NPI 1710114558 · Primary Care Clinic/Center · Pompano Beach, FL
Provider details
- NPI number
- 1710114558
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keisha Goodison, President(954) 366-3425
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 E Sample Rd
Suite 300
Pompano Beach, FL 33064
Phone: (954) 366-3425
Fax: (954) 366-3510
Street-level locationGet directions
Mailing address
100 E Sample Rd
Pompano Beach, FL 33064-3554
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2018-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.