Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301405932 | MI |
N | 111NI0900X | Internist | 4301405932 | MI |
N | 207RH0000X | Hematologist | 4301405932 | MI |
N | 207RH0003X | Hematology & Oncology | 4301405932 | MI |
Y | 207RH0003X | Hematology & Oncology | ME130130 | FL |
N | 207RX0202X | Medical Oncology | 4301405932 | MI |
N | 207RX0202X | Medical Oncology | MD423385 | PA |
NPI | 1457387698 |
---|---|
Provider Name | Steven C Goldstein |
First Address | Orlando, FL 32804-5558 |
Second Address | Orlando, FL 32804-5558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 07/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1011212370001 | (05) | PA |
F31977 | (02) |