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Organization
BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE
Active
Organization
BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE GOLDSTEIN DPM (OWNER /PODIATRIST)
(561) 416-1196
Entity
Organization
Contact information
Practice address
5458 TOWN CENTER RD STE 17, BOCA RATON, FL 33486-1009
(561) 416-1196
(561) 416-1822
Mailing address
5458 TOWN CENTER RD STE 17, BOCA RATON, FL 33486-1009
(561) 416-1196
(561) 416-1822
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
—
NULL
213ES0000X
Sports Medicine Podiatrist
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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