Provider Demographics
NPI:1447337944
Name:GOLDSTEIN, GABRIELA (MD, PA)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR STE 6200
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3416
Mailing Address - Country:US
Mailing Address - Phone:561-820-8580
Mailing Address - Fax:561-820-8581
Practice Address - Street 1:1411 N FLAGLER DR STE 6200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3416
Practice Address - Country:US
Practice Address - Phone:561-820-8580
Practice Address - Fax:561-820-8581
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0055598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE29940Medicare UPIN
FL11464Medicare ID - Type UnspecifiedPROVIDER NUMBER