Provider Demographics
NPI:1891777322
Name:FINEGOLD, MIRIAM T (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:T
Last Name:FINEGOLD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:154 ACADEMY OAKS PL
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2806
Mailing Address - Country:US
Mailing Address - Phone:904-472-8043
Mailing Address - Fax:407-646-2213
Practice Address - Street 1:1000 HOLT AVE
Practice Address - Street 2:2727
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4499
Practice Address - Country:US
Practice Address - Phone:407-646-2235
Practice Address - Fax:407-646-2213
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME58133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE67245Medicare UPIN