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Individual

BRADLEY J GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1120 NW 14TH ST, 5TH FLOOR, MIAMI, FL 33136-2107
(305) 243-3564
(305) 243-1733
Mailing address
1120 NW 14TH ST, 5TH FLOOR, MIAMI, FL 33136-2107
(305) 243-3564
(305) 243-1733

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME112547
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062340-00
FL
05
431978699
ME
Enumeration date
06/12/2006
Last updated
02/15/2013
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