Individual
MR. BRANDON PAUL GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8950 N KENDALL DR STE 407W, MIAMI, FL 33176-2132
(786) 596-3876
(786) 533-9989
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-3876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
19415
FL
363A00000X
Physician Assistant
9115603
FL
363A00000X
Physician Assistant
Primary
PA9115603
FL
Other
Enumeration date
01/20/2022
Last updated
08/11/2022
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