Individual
LUIS R MCGOLDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N FLAMINGO RD STE 206, PEMBROKE PINES, FL 33028
(954) 844-6825
(954) 499-1227
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0055377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039656700
—
FL
Enumeration date
08/15/2005
Last updated
03/06/2019
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