Goldstein, Ilene Joy
Goldstein, Ilene Joy is an sole proprietor health care provider with primary practice located at 10301 Hagen Ranch Rd Ste 760 , Boynton Beach FL 33437-3777. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Goldstein, Ilene Joy can be contacted via phone (954) 315-5750.Contact Information
Primary practice address
10301 Hagen Ranch Rd Ste 760
Boynton Beach FL 33437-3777
Phone: (954) 315-5750
Fax: (954) 733-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | ME119313 | Florida |
Profile Details
| NPI number | 1225117138 |
|---|---|
| LBN Legal business name | Goldstein, Ilene Joy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Apr 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225117138 | NPPES |
| Florida | MEDICAID | 104776000 |
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