Goldstein, Jerold S.

Goldstein, Jerold S. is an individual health care provider with primary practice located at 5238 Mason Corbin Ct Suite 102, Fort Myers FL 33907-7738. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Goldstein, Jerold S. can be contacted via phone (239) 936-5400.

Contact Information

Primary practice address
5238 Mason Corbin Ct Suite 102 Fort Myers FL 33907-7738
Phone: (239) 936-5400
Fax: (239) 936-9572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0002020 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO0002020 Florida

Profile Details

NPI number 1740251750
LBN Legal business name Goldstein, Jerold S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jan 21st, 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 1740251750 NPPES
Florida MEDICAID 052066700

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