Individual
MR. GLEN HERBERT GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4491 W STABLE CT, BEVERLY HILLS, FL 34465-4451
(727) 385-0771
Mailing address
4491 W STABLE CT, BEVERLY HILLS, FL 34465-4451
(727) 385-0771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18509
FL
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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