Provider Demographics
NPI:1093175325
Name:GOLIKOV, EDWIN (DO)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:
Last Name:GOLIKOV
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4701 N FEDERAL HWY
Mailing Address - Street 2:B BUILDING
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3746
Mailing Address - Country:US
Mailing Address - Phone:212-991-8299
Mailing Address - Fax:478-202-9564
Practice Address - Street 1:4701 N FEDERAL HWY
Practice Address - Street 2:B BUILDING
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3746
Practice Address - Country:US
Practice Address - Phone:212-991-8299
Practice Address - Fax:478-202-9564
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2024-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY297567207RG0100X, 207RG0100X
FL19820207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology