MEDICARE: DANIEL GOLOGORSKY MD, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	ME135746	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114366200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL GOLOGORSKY MD, MBA

Provider Business Mailing Address
First Line	:	4308 ALTON RD STE 610
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4559
Country	:	US
Telephone Number	:	305-902-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4308 ALTON RD STE 610
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4559
Country	:	US
Telephone Number	:	305-902-3200
Fax Number	:	305-834-4371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2013
Last Update Date	:	01/12/2026

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