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Individual

DR. TERRY JAN GOLDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
10630 PARIS ST, HOLLYWOOD, FL 33026-4817
(305) 558-4004
(954) 437-2733
Mailing address
10630 PARIS ST, HOLLYWOOD, FL 33026-4817
(305) 558-4004
(954) 437-2733

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1410
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041362300
FL
Enumeration date
10/06/2005
Last updated
03/12/2009
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