Goldstein, Keith

Goldstein, Keith is an sole proprietor health care provider with primary practice located at 4649 Gardens Park Blvd Apt 3308 , Orlando FL 32839-2623. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goldstein, Keith can be contacted via phone (407) 509-8852.

Contact Information

Primary practice address
4649 Gardens Park Blvd Apt 3308 Orlando FL 32839-2623
Phone: (407) 509-8852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2436 Florida

Profile Details

NPI number 1639235765
LBN Legal business name Goldstein, Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Aug 12th, 2021 - about 3 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 1639235765 NPPES
Florida Other 2701686 EVERCARE
Florida MEDICAID 340109000 EVERCARE

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