Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME0058163 | FL |
NPI | 1033112156 |
---|---|
Provider Name | Stacia H Goldey |
First Address | Largo, FL 33770-3127 |
Second Address | Largo, FL 33770-3127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 07/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180018859 | RAILROAD MEDICARE (01) | FL |
37553900 | (05) | FL |
F58678 | (02) |