Goldman, Jason Michael

Goldman, Jason Michael is an sole proprietor health care provider with primary practice located at 3100 Coral Hills Dr Suite #308, Coral Springs FL 33065-4137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goldman, Jason Michael can be contacted via phone (954) 227-1234.

Contact Information

Primary practice address
3100 Coral Hills Dr Suite #308 Coral Springs FL 33065-4137
Fax: (954) 227-1244
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME78957 Florida

Profile Details

NPI number 1184610040
LBN Legal business name Goldman, Jason Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Aug 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184610040 NPPES
Florida MEDICAID 262331500

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