MEDICARE: HOPE A GOLDSTEIN PT

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	225100000X	Physical Therapist	007774	CT
2	225100000X	Physical Therapist	35806	FL
3	2251X0800X	Orthopedic Physical Therapist	PT35806	FL

General Provider Information

NPI Number	:	1194937797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE A GOLDSTEIN PT

Provider Business Mailing Address
First Line	:	1111 W FAIRBANKS AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	321-842-4810
Fax Number	:	321-842-4809

Provider Business Practice Location Address
First Line	:	1111 W FAIRBANKS AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	321-842-4810
Fax Number	:	321-842-4809

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/02/2024

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Directions to “ HOPE A GOLDSTEIN PT” Practice Location

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