Provider Demographics
NPI:1366452070
Name:GOLDIN, STEVEN PAUL (DC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:GOLDIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 W HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9407
Mailing Address - Country:US
Mailing Address - Phone:954-427-5600
Mailing Address - Fax:954-427-3416
Practice Address - Street 1:1883 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BCH
Practice Address - State:FL
Practice Address - Zip Code:33442-9407
Practice Address - Country:US
Practice Address - Phone:954-427-5600
Practice Address - Fax:954-427-3416
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL000394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T92557Medicare UPIN
88062Medicare ID - Type Unspecified