Individual
BONNIE S GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 CHESHAM ST, ORMOND BEACH, FL 32174-0691
(917) 282-2600
Mailing address
349 CHESHAM ST, ORMOND BEACH, FL 32174-0691
(917) 282-2600
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
119953
CO
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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