Provider Demographics
NPI:1285691386
Name:GOLDRINGBERMANN, SARA ELENA
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:ELENA
Last Name:GOLDRINGBERMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21205 NE 37TH AVE
Mailing Address - Street 2:#2408
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4051
Mailing Address - Country:US
Mailing Address - Phone:305-672-8080
Mailing Address - Fax:305-672-0030
Practice Address - Street 1:300 W 41ST ST
Practice Address - Street 2:#216
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3637
Practice Address - Country:US
Practice Address - Phone:305-672-8080
Practice Address - Fax:305-672-8080
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health