Provider Demographics
NPI:1952480618
Name:GOLDSMITH, DEBORAH (DC, AP)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:DC, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 S EAST AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2355
Mailing Address - Country:US
Mailing Address - Phone:941-953-3030
Mailing Address - Fax:941-953-3044
Practice Address - Street 1:1219 S EAST AVE STE 206
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2355
Practice Address - Country:US
Practice Address - Phone:941-953-3030
Practice Address - Fax:941-953-3044
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2439171100000X
FLCH8159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70267OtherBLUE CROSS BLUE SHIELD
FL70267OtherBLUE CROSS BLUE SHIELD
FL70267ZMedicare ID - Type Unspecified
FLAB546Medicare PIN