Doctor Name: | MR. ERNEST DENNIS GOLIN |
NPI Number: | 1982698015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC,LMT,CSTS |
License Number: | AL44 |
Business Practice Address: | 5336 Archstone Dr Unit 207 Tampa, FL - 336344235 |
Business Phone Number: | 8138871909 |
Business Fax Number: | 8138871909 |
Mailing Address: | 5336 Archstone Dr, Unit 207 TAMPA |
State: | FL |
Postal Code: | 336344235 |
Phone Number: | 8138871909 |
Fax Number: | 8138871909 |
NPI Enumeration Date: | 09/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | AL44 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |