Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 94865 | FL |
NPI | 1023257649 |
---|---|
Provider Name | Dr. Richard Ross Golden |
First Address | Boca Raton, FL 33433-7450 |
Second Address | Boca Raton, FL 33433-7450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2009 |
Last Update Date | 05/02/2009 |