Individual
BRADLEY GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10282 ISLANDER DR, BOCA RATON, FL 33498-6306
(561) 702-3838
(561) 477-8974
Mailing address
10282 ISLANDER DR, BOCA RATON, FL 33498-6306
(561) 702-3838
(561) 477-8974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y6724
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
06/05/2008
Last updated
11/19/2015
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