MEDICARE: DR. MARC DAVID GOLDEN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	OS4664	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093783086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC DAVID GOLDEN D.O.

Provider Business Mailing Address
First Line	:	9970 CENTRAL PARK BLVD N
Second Line	:	SUITE 300
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2231
Country	:	US
Telephone Number	:	561-488-2200
Fax Number	:	561-488-1064

Provider Business Practice Location Address
First Line	:	13590 JOG RD
Second Line	:	SUITE 7
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3807
Country	:	US
Telephone Number	:	561-637-4200
Fax Number	:	561-637-3222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/02/2010

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