MEDICARE: MRS. MICHAL S GOLDSHMID PA-C

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	363AM0700X	Medical Physician Assistant	PA9105985	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	:	1952687741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHAL S GOLDSHMID PA-C

Provider Business Mailing Address
First Line	:	7201 SIENNA RIDGE LN
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-4355
Country	:	US
Telephone Number	:	954-319-4778
Fax Number	:

Provider Business Practice Location Address
First Line	:	2774 WEST DAVIE BLVD
Second Line	:	RIVERLAND MEDICAL CENTERS,INC.
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312
Country	:	US
Telephone Number	:	954-791-3458
Fax Number	:

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

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	10/25/2011

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