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NPI Code Detail

MEDICARE: CHAYIL GOLDIN

MEDICARE: CHAYIL GOLDIN
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
1101YM0800XMental Health CounselorMH24813FL

General Provider Information

NPI Number : 1679877781
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAYIL GOLDIN
Provider Business Mailing Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Provider Business Practice Location Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 646-941-7645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2011
Last Update Date : 06/03/2025

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Directions to “ CHAYIL GOLDIN ” Practice Location

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