Individual
GARY L GOLDFADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3816 HOLLYWOOD BLVD, SUITE 205, HOLLYWOOD, FL 33021-6750
(954) 966-5409
(954) 966-0852
Mailing address
3816 HOLLYWOOD BLVD, SUITE 205, HOLLYWOOD, FL 33021-6750
(954) 966-5409
(954) 966-0852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME13631
FL
207N00000X
Dermatology Physician
Primary
ME13631
FL
Other
Enumeration date
08/16/2006
Last updated
09/11/2025
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