Individual
DR. NELSON CHARLES GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP ORAL MAXILLOFACIAL SURGERY, JACKSONVILLE, FL 32209-6511
(904) 244-5003
(904) 244-7730
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME12918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2664372-00
—
FL
05
—
901969074A
—
GA
Enumeration date
03/31/2006
Last updated
08/27/2009
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