# HERBERT GOLDWIRE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578823886
- **Authorized official:** MR. HERBERT GOLDWIRE ARNP (PRESIDENT)
- **Authorized official phone:** (954) 681-2881

## Contact information

- **Practice address:** 3075 NW 35TH AVE, LAUDERDALE LAKES, FL 33311-1107
- **Practice address phone:** (954) 681-2881
- **Mailing address:** 20 NW 13TH AVE, DANIA, FL 33004-5107
- **Mailing address phone:** (954) 681-2881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | ARNP9207809 | FL | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012