Provider Demographics
NPI:1518080407
Name:GOLDSCHMIDT, THOMAS JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOHN
Last Name:GOLDSCHMIDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 CORAL HILLS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4137
Mailing Address - Country:US
Mailing Address - Phone:954-344-3900
Mailing Address - Fax:954-344-2443
Practice Address - Street 1:3100 CORAL HILLS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4137
Practice Address - Country:US
Practice Address - Phone:954-344-3900
Practice Address - Fax:954-344-2443
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2012-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME484972084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB89420Medicare UPIN