Individual
STACIA H GOLDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0058163
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
ME0058163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180018859
RAILROAD MEDICARE
FL
05
—
37553900
—
FL
Enumeration date
05/23/2005
Last updated
07/07/2020
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