Basic Information
Provider Information
NPI: 1134167307
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOLDFINGER
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11985 SOUTHERN BLVD
Address2: SUITE 201
City: ROYAL PALM BEACH
State: FL
PostalCode: 334117619
CountryCode: US
TelephoneNumber: 5616448366
FaxNumber:  
Practice Location
Address1: 13001 SOUTHERN BLVD
Address2:  
City: LOXAHATCHEE
State: FL
PostalCode: 334709203
CountryCode: US
TelephoneNumber: 5617983300
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/02/2006
LastUpdateDate: 08/21/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XME0077904FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
4711401 BCBSOTHER


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