Individual
DR. GOLTA RASOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
395 COMMERCIAL CT STE C, VENICE, FL 34292-1651
(941) 529-0070
(941) 529-0539
Mailing address
2389 E VENICE AVE UNIT 510, VENICE, FL 34292-2465
(941) 529-0070
(941) 529-0539
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
ME145594
FL
207N00000X
Dermatology Physician
ME145594
FL
207R00000X
Internal Medicine Physician
ME145594
FL
Other
Enumeration date
04/26/2013
Last updated
08/03/2021
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