Dr. Ian Samuel Goldbaum
Podiatrist Radiology Sports Medicine Foot & Ankle Surgery
16244 S Military Trl Suite 290
Delray Beach
, Florida 33484-6534
Dr. Ian Samuel Goldbaum
Podiatrist Radiology Sports Medicine Foot & Ankle Surgery
16244 S Military Trl Suite 290
Delray Beach
, Florida 33484-6534
(561) 499-2806
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About
Features
Specialties
- Podiatrist
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Ian Samuel Goldbaum
- 16244 S Military Tr Suite 290
- Delray Beach, FL
- Zip : 33484-6532
- Fax : (561) 499-2806
- Phone : (561) 499-0033
Second Address
- Dr. Ian Samuel Goldbaum
- 16244 S Military Trl Suite 290
- Delray Beach, FL
- Zip : 33484-6534
- Fax : (561) 499-2806
- Phone : (561) 499-0033
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P01651 | FL |
| Y | 222Z00000X | Podiatrist | P01651 | FL |
| N | 111NR0200X | Radiology | PO1651 | FL |
| N | 213ER0200X | Radiology | PO1651 | FL |
| N | 2081S0010X | Sports Medicine | PO1651 | FL |
| N | 213ES0000X | Sports Medicine | PO1651 | FL |
| N | 213ES0103X | Foot & Ankle Surgery | P01651 | FL |
National Provider Identifier
| NPI | 1407079874 |
|---|---|
| Provider Name | Dr. Ian Samuel Goldbaum |
| First Address | Delray Beach, FL 33484-6532 |
| Second Address | Delray Beach, FL 33484-6534 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2007 |
| Last Update Date | 08/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T55583 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.