Individual
WAYNE GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12960 WEST STATE ROAD 84, DAVIE, FL 33325
(954) 424-3130
(954) 835-2442
Mailing address
12960 W STATE ROAD 84, DAVIE, FL 33325-3306
(954) 424-3130
(954) 835-2442
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
DO3856
FL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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