Provider Demographics
NPI:1386825677
Name:GOLDIN, DEANA S (ARNP)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:S
Last Name:GOLDIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEANA
Other - Middle Name:S
Other - Last Name:SACHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:9275 SW 152 STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157
Mailing Address - Country:US
Mailing Address - Phone:305-253-8869
Mailing Address - Fax:
Practice Address - Street 1:7800 SW 87TH AVE
Practice Address - Street 2:SUITE C320
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3570
Practice Address - Country:US
Practice Address - Phone:305-598-8787
Practice Address - Fax:305-598-8680
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2966652363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAQ920ZMedicare PIN