Individual
DR. FIDEL S GOLDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., P.T.
Contact information
Practice address
10796 PINES BLVD., #105, PEMBROKE PINES, FL 33026-2129
(954) 367-4888
(954) 367-4889
Mailing address
10796 PINES BLVD., #105, PEMBROKE PINES, FL 33026-2129
(954) 367-4888
(954) 367-4889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9276
FL
225100000X
Physical Therapist
PT19489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380230200
—
FL
Enumeration date
08/01/2006
Last updated
02/25/2009
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