Doctor Name: | DR. DAVID ELIOT GOLDNER |
NPI Number: | 1992934434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | TRN13726 |
Business Practice Address: | 14050 Nw 14th St Ste 190 Sunrise, FL - 333232865 |
Business Phone Number: | 9544751300 |
Business Fax Number: | |
Mailing Address: | 5501 Whispering Willow Way, FORT MYERS |
State: | FL |
Postal Code: | 339084511 |
Phone Number: | 4073769478 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN13726 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |