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NPI Code Detail

MEDICARE: MARIE ANN GOLDSTEIN LMT

MEDICARE: MARIE ANN GOLDSTEIN LMT
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
1174400000XSpecialistMA46511FL

General Provider Information

NPI Number : 1285981175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE ANN GOLDSTEIN LMT
Provider Business Mailing Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-456-4788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 08/09/2012

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Directions to “ MARIE ANN GOLDSTEIN LMT” Practice Location

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