Goldman, Sandy Robert

Goldman, Sandy Robert is an individual health care provider with primary practice located at 17170 Royal Palm Blvd , Weston FL 33326-2339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Goldman, Sandy Robert can be contacted via phone (954) 349-3376.

Contact Information

Primary practice address
17170 Royal Palm Blvd Weston FL 33326-2339
Fax: (954) 385-8572
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X SG010565 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS5360 Florida

Profile Details

NPI number 1902803760
LBN Legal business name Goldman, Sandy Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 12th, 2019 - about 5 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 1902803760 NPPES
Michigan MEDICAID 1902803760

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