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General NPI Number Information
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NPI Number | 1114366200
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Entity Type | Individual
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Provider Name | DANIEL GOLOGORSKY MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 4308 ALTON RD STE 610
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4559
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Country | US
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Telephone | 305-902-3200
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Fax | 305-834-4371
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-468-8072
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Fax | 954-468-8087
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | ME135746
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License Number State | FL
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