Individual
DR. LAWRENCE JAY GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3172 ANTIGUA BAY LN, TAVARES, FL 32778-9224
(352) 343-2414
Mailing address
3172 ANTIGUA BAY LN, TAVARES, FL 32778-9224
(352) 343-2414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 24822
FL
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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