| Doctor Name: | LORETTA PUTVIN-GOLDING |
| NPI Number: | 1861437915 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA1556 |
| Business Practice Address: | 4015 Us Highway 301 N Ellenton, FL - 342222407 |
| Business Phone Number: | 9417227222 |
| Business Fax Number: | 9417231003 |
| Mailing Address: | 4015 Us Highway 301 N, ELLENTON |
| State: | FL |
| Postal Code: | 342222407 |
| Phone Number: | 9417227222 |
| Fax Number: | 9417231003 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |