Organization
TERRY J GOLDMAN D P M PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY J GOLDMAN (OWNER)
(305) 558-4004
Entity
Organization
Contact information
Practice address
10630 PARIS ST, COOPER CITY, FL 33026-4817
(305) 558-4004
(954) 437-2733
Mailing address
10630 PARIS ST, COOPER CITY, FL 33026-4817
(305) 558-4004
(954) 437-2733
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041362300
—
FL
Enumeration date
01/21/2009
Last updated
03/12/2009
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