Individual
MS. KATHY L GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, AC-BC
Contact information
Practice address
10300 SW 216TH ST, 8820 SW 191 STREET CUTLER BAY FLORIDA 33157, MIAMI, FL 33190-1003
(305) 254-4969
(305) 235-1733
Mailing address
8820 SW 191ST ST, CUTLER BAY, FL 33157-7143
(305) 254-4969
(305) 235-1733
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0603031-01
CHI CASE MANAGER NUMBER
FL
05
—
762004700
—
FL
Enumeration date
11/09/2006
Last updated
09/12/2012
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