Healthcare Provider Details

I. General information

NPI: 1952583049
Provider Name (Legal Business Name): HAL GOLDMAN PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 NW BOCA RATON BLVD STE 704
BOCA RATON FL
33431-5854
US

IV. Provider business mailing address

3500 NW BOCA RATON BLVD STE 704
BOCA RATON FL
33431-5854
US

V. Phone/Fax

Practice location:
  • Phone: 561-353-4663
  • Fax:
Mailing address:
  • Phone: 561-353-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: