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Individual

STEPHEN ALLEN GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6633 FOREST AVE, 302, NEW PORT RICHEY, FL 34653-2612
(727) 849-8771
(727) 842-4962
Mailing address
14100 FIVAY ROAD, SUITE 110, HUDSON, FL 34667-7159
(727) 849-8771
(727) 842-4962

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME33564
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039468800
FL
01
060063896
RAILROAD MEDICARE
01
163403
WELLCARE
FL
01
225695
AVMED
01
51107
BCBS
FL
Enumeration date
06/07/2006
Last updated
09/17/2021
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