MEDICARE: DR. JEROLD S. GOLDSTEIN D.P.M.

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	213E00000X	Podiatrist	PO0002020	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO0002020	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	:	1740251750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEROLD S. GOLDSTEIN D.P.M.

Provider Business Mailing Address
First Line	:	7117 CONGDON RD APT 200
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-5004
Country	:	US
Telephone Number	:	239-936-5400
Fax Number	:	239-936-9572

Provider Business Practice Location Address
First Line	:	7117 CONGDON RD APT 200
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-5004
Country	:	US
Telephone Number	:	239-936-5400
Fax Number	:	239-936-9572

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

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	05/01/2025

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Directions to “ DR. JEROLD S. GOLDSTEIN D.P.M.” Practice Location

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