Individual
DR. KEITH GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4649 GARDENS PARK BLVD APT 3308, ORLANDO, FL 32839-2623
(407) 509-8852
Mailing address
4649 GARDENS PARK BLVD APT 3308, ORLANDO, FL 32839-2623
(407) 509-8852
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2701686
EVERCARE
FL
05
—
340109000
—
FL
Enumeration date
01/01/2007
Last updated
08/12/2021
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