Goldman, Terry Jan
Goldman, Terry Jan is an sole proprietor health care provider with primary practice located at 10630 Paris St , Hollywood FL 33026-4817. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goldman, Terry Jan can be contacted via phone (305) 558-4004.Contact Information
Primary practice address
10630 Paris St
Hollywood FL 33026-4817
Phone: (305) 558-4004
Fax: (954) 437-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO1410 | Florida |
Profile Details
| NPI number | 1902893712 |
|---|---|
| LBN Legal business name | Goldman, Terry Jan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Mar 12th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902893712 | NPPES |
| Florida | MEDICAID | 041362300 |
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