Individual
NANIALEI GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 HICKORY ST STE A, MELBOURNE, FL 32901-1973
(321) 725-4500
(321) 952-2330
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 725-4500
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME76034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254192100
—
FL
01
—
43801W
MEDICARE
FL
Enumeration date
10/28/2005
Last updated
05/08/2018
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