Timothy R Goshen in Wilton Manors - Specialist

Timothy R Goshen - NPI 1083665723

Timothy R Goshen is a Specialist in Wilton Manors, Florida. Timothy R Goshen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy R Goshen is 1083665723. The last update date is 2021-06-16.

Timothy R Goshen's current location address is 2301 Wilton Dr, Wilton Manors, Florida. You can contact this provider via phone number 9545675898 and fax number 9545670395. The mailing address for Timothy R Goshen is 2301 Wilton Dr, Wilton Manors, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy R Goshen
Address 2301 Wilton Dr, Wilton Manors, Florida
Phone Number 9545675898
Fax Number 9545670395
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1083665723
Provider Enumeration Date 2006-05-15
Last Updated Date 2021-06-16

Provider Mailing Address Detail

Address 2301 Wilton Dr
City Wilton Manors
State Florida (FL)
Post Code 333051202
Phone Number 9545675898
Fax Number 9545670395

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OS8504
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
266516600 FL --

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FAQs about Timothy R Goshen

What is the unique identification code assigned to Timothy R Goshen by the Centers for Medicare & Medicaid Services?

The Timothy R Goshen has been issued the NPI (National Provider Identifier) 1083665723. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Timothy R Goshen is geographically located?

The Timothy R Goshen is physically situated at the following location: 2301 Wilton Dr, Wilton Manors, FL, 333051202.

What is Timothy R Goshen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Timothy R Goshen is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083665723 to Timothy R Goshen?

The Centers for Medicare & Medicaid Services originally issued the 1083665723 to Timothy R Goshen on 2006-05-15.

As of what date was the information pertaining to Timothy R Goshen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Timothy R Goshen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-16.

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