Wayne Goldman
Technician/Technologist, Ophthalmic in Davie, FL. Individual provider (NPI-1).
NPI number1629440870
StatusActive
Last updated in NPPESOct 28, 2015
Details
- NPI
- 1629440870
- Entity type
- Individual (NPI-1)
- Name
- Wayne Goldman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2015
- Last updated
- Oct 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1100X | Technician/Technologist, Ophthalmic | DO3856 | FL | Yes |
Practice location
12960 West State Road 84Davie, FL 33325
Phone 954-424-3130 · Fax 954-835-2442
Mailing address
12960 W State Road 84Davie, FL 33325-3306
Phone 954-424-3130 · Fax 954-835-2442
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