Provider Demographics
NPI:1366414674
Name:GOLDSTEIN, ROBERT Z (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:Z
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17094 ROYAL COVE WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2919
Mailing Address - Country:US
Mailing Address - Phone:561-998-7141
Mailing Address - Fax:561-998-7141
Practice Address - Street 1:17094 ROYAL COVE WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2919
Practice Address - Country:US
Practice Address - Phone:561-998-7141
Practice Address - Fax:561-998-7141
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL70389207R00000X, 207RA0401X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY899081Medicare PIN