Individual
DR. SANDY ROBERT GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17170 ROYAL PALM BLVD, WESTON, FL 33326-2339
(954) 349-3376
(954) 385-8572
Mailing address
17170 ROYAL PALM BLVD, WESTON, FL 33326-2339
(954) 349-3376
(954) 385-8572
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS5360
FL
207N00000X
Dermatology Physician
SG010565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902803760
—
MI
Enumeration date
07/07/2005
Last updated
03/12/2019
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