Individual
DR. JOHN KEITH GOLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NE 17TH AVE, FORT LAUDERDALE, FL 33301-3801
(954) 328-4190
(954) 522-5593
Mailing address
120 NE 17TH AVE, FORT LAUDERDALE, FL 33301-3801
(954) 328-4190
(954) 522-5593
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
023884
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238849
—
CT
Enumeration date
08/11/2006
Last updated
08/21/2016
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