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Individual
MARK GOLDSTEIN
Active
Individual
MARK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47869
BCBS
FL
01
—
47869X
MEDICARE
FL
Enumeration date
07/17/2006
Last updated
09/08/2017
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