Provider Demographics
NPI:1093783086
Name:GOLDEN, MARC DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:DAVID
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9970 CENTRAL PARK BLVD N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2231
Mailing Address - Country:US
Mailing Address - Phone:561-488-2200
Mailing Address - Fax:561-488-1064
Practice Address - Street 1:13590 JOG RD
Practice Address - Street 2:SUITE 7
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3807
Practice Address - Country:US
Practice Address - Phone:561-637-4200
Practice Address - Fax:561-637-3222
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2010-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS4664207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055339500Medicaid
FL82614ZMedicare ID - Type Unspecified
FL055339500Medicaid