Organization
FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES., INC.
Active
Organization
FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GOSHEN DO (OWNER)
(954) 567-5898
Entity
Organization
Contact information
Practice address
2301 WILTON DR, SUITE C2, WILTON MANORS, FL 33305-1202
(954) 567-5898
(954) 567-0395
Mailing address
2301 WILTON DR, SUITE C2, WILTON MANORS, FL 33305-1202
(954) 567-5898
(954) 567-0395
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
OS8504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266516600
—
FL
01
—
57739
MEDICARE
—
Enumeration date
11/06/2012
Last updated
12/07/2012
Update your record
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