Organization
MICHAEL S. GOLDMAN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SAMUEL GOLDMAN D.O. (PRESIDENT)
(561) 756-1469
Entity
Organization
Contact information
Practice address
17714 LOMOND CT, BOCA RATON, FL 33496-1032
(561) 756-1469
Mailing address
17714 LOMOND CT, BOCA RATON, FL 33496-1032
(561) 756-1469
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS3831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603900-00
—
FL
Enumeration date
01/30/2012
Last updated
02/17/2012
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