Healthcare Provider Details

I. General information

NPI: 1841117785
Provider Name (Legal Business Name): GOLDMAN DERMATOLOGY OF MIAMI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 BISCAYNE BLVD STE 104
MIAMI FL
33137-3227
US

IV. Provider business mailing address

4550 BAY POINT RD
MIAMI FL
33137-3314
US

V. Phone/Fax

Practice location:
  • Phone: 917-692-2758
  • Fax:
Mailing address:
  • Phone: 917-692-2758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHLOE GOLDMAN
Title or Position: OWNER
Credential: MD
Phone: 917-692-2758