Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | A 109348 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD60183304 | WA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME104974 | FL |
NPI | 1235344326 |
---|---|
Provider Name | Stanley Raymond Golish |
First Address | Jupiter, FL 33458-7830 |
Second Address | Jupiter, FL 33458-7830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 15/08/2012 |