Individual
DR. IAN SAMUEL GOLDBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
16244 S MILITARY TRL, SUITE 290, DELRAY BEACH, FL 33484-6534
(561) 499-0033
(561) 499-2806
Mailing address
16244 S MILITARY TR, SUITE 290, DELRAY BEACH, FL 33484-6532
(561) 499-0033
(561) 499-2806
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P01651
FL
213ER0200X
Radiology Podiatrist
PO1651
FL
213ES0000X
Sports Medicine Podiatrist
PO1651
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
P01651
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2014
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