Individual
ILENE JOY GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10301 HAGEN RANCH RD STE 760, BOYNTON BEACH, FL 33437-3777
(954) 315-5750
(954) 733-5004
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 315-5750
(954) 733-5004
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME119313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104776000
—
FL
Enumeration date
11/02/2006
Last updated
04/10/2020
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