Healthcare Provider Details

I. General information

NPI: 1811891633
Provider Name (Legal Business Name): DR. BRETT A. GOLDSTEIN DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 E COMMERCIAL BLVD STE 304
FORT LAUDERDALE FL
33308-3807
US

IV. Provider business mailing address

416 SW 1ST AVE APT 908
FORT LAUDERDALE FL
33301-4421
US

V. Phone/Fax

Practice location:
  • Phone: 954-871-1411
  • Fax: 800-791-1406
Mailing address:
  • Phone: 954-592-9355
  • Fax: 800-791-1406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRETT GOLDSTEIN
Title or Position: OWNER
Credential: DC
Phone: 954-592-9355