Provider Demographics
NPI:1023257649
Name:GOLDEN, RICHARD ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ROSS
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7458 CAMPO FLORIDO
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7450
Mailing Address - Country:US
Mailing Address - Phone:561-376-8744
Mailing Address - Fax:
Practice Address - Street 1:7458 CAMPO FLORIDO
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7450
Practice Address - Country:US
Practice Address - Phone:561-376-8744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94865207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine