Provider Demographics
NPI:1427026707
Name:GOLDEN, ROBERT F (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 TAMPA RD STE A
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3100
Mailing Address - Country:US
Mailing Address - Phone:813-855-5986
Mailing Address - Fax:813-855-6378
Practice Address - Street 1:3906 TAMPA RD
Practice Address - Street 2:SUITE A
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3100
Practice Address - Country:US
Practice Address - Phone:813-855-5986
Practice Address - Fax:813-855-6378
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T85426Medicare UPIN
70383Medicare ID - Type Unspecified