Healthcare Provider Details

I. General information

NPI: 1841439395
Provider Name (Legal Business Name): RICHARD R GOLDEN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2009
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7458 CAMPO FLORIDO
BOCA RATON FL
33433-7450
US

IV. Provider business mailing address

7458 CAMPO FLORIDO
BOCA RATON FL
33433-7450
US

V. Phone/Fax

Practice location:
  • Phone: 561-376-8744
  • Fax: 561-376-8744
Mailing address:
  • Phone: 561-376-8744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number94865
License Number StateFL

VIII. Authorized Official

Name: DR. RICHARD ROSS GOLDEN
Title or Position: OWNER
Credential: MD
Phone: 561-376-8744