Organization
BERNARD GOLDSTEIN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LEO GOLDSTEIN DPM (OWNER)
(813) 972-3338
Entity
Organization
Contact information
Practice address
131 N MOON AVE, SUITE 6, BRANDON, FL 33510-4418
(813) 972-3338
(813) 977-9070
Mailing address
13615 BRUCE B DOWNS BLVD, SUITE 112, TAMPA, FL 33613-4607
(813) 972-3338
(813) 977-9070
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0000369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390033900
—
FL
Enumeration date
11/08/2007
Last updated
08/01/2008
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