HERBERT GOLDWIRE PA - NPI 1578823886 - Nurse Practitioner in Lauderdale Lakes, FL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

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About Herbert Goldwire Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERBERT GOLDWIRE PA (NPI 1578823886) is a healthcare organization registered as a primary care in Lauderdale Lakes, Florida and active in the NPI registry since May 2012. The organization lists Herbert Goldwire, President, as its authorized official.

NPPES Registry Identity

NPI1578823886

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameHERBERT GOLDWIRE PA

Location Address3075 NW 35TH AVELauderdale Lakes, FL 33311-1107

Mailing Address20 Nw 13th AveDania, FL 33004-5107 · (954) 681-2881

Phone(954) 681-2881

Organization SubpartNo

Authorized OfficialHerbert GoldwirePresident · (954) 681-2881

Enumeration DateMay 21, 2012

✔ NPI 1578823886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in FL · ARNP9207809

3075 NW 35TH AVE, Lauderdale Lakes, FL 33311

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP