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Individual

WILLIAM W. GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS9352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009990715
AL
01
01551
BLUECROSS & BLUESHIELD
FL
05
272226700
FL
01
591-77578
BLUECROSS & BLUESHIELD
AL
01
N134
HEALTH FIRST NETWORK
FL
01
P00307277
MEDICARE RAILROAD
Enumeration date
08/11/2005
Last updated
01/26/2022
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