Individual
DR. KENNETH H GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2161 KINGSLEY AVE., SUITE 200, ORANGE PARK, FL 32073
(904) 276-2303
(904) 272-3659
Mailing address
3599 UNIVERSITY BLVD S, SUITE 805, JACKSONVILLE, FL 32216
(904) 309-8680
(904) 345-5841
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 37834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043429900
—
FL
01
—
204230
AVMED
FL
01
—
4230901
AETNA
FL
01
—
55131
BCBS
FL
Enumeration date
06/16/2005
Last updated
11/28/2012
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