# BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE

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

## Provider details

- **NPI number:** 1982263638
- **Authorized official:** DR. WAYNE GOLDSTEIN DPM (OWNER /PODIATRIST)
- **Authorized official phone:** (561) 416-1196

## Contact information

- **Practice address:** 5458 TOWN CENTER RD STE 17, BOCA RATON, FL 33486-1009
- **Practice address phone:** (561) 416-1196
- **Practice address fax:** (561) 416-1822
- **Mailing address:** 5458 TOWN CENTER RD STE 17, BOCA RATON, FL 33486-1009
- **Mailing address phone:** (561) 416-1196
- **Mailing address fax:** (561) 416-1822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | Yes |
| 213ES0000X | Sports Medicine Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2019
- **Last updated:** 06/06/2019