NPIMap

Organization Active NPI

Fidel S. Goldson, DC PA

  • Rehabilitation Clinic/Center
  • Plantation, FL
National Provider Identifier
1023480985
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
CH9276 Issued in FL
Legal business name
FIDEL S. GOLDSON, DC PA
Practice address
734 N State Road 7
Plantation, FL 33317-2129
Phone
(954) 584-3774
Fax
(954) 583-0497
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fidel Goldson, DC, PTNPI 1558378745
Title
President
Phone
(954) 584-3774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X CH9276 FL Primary
Rehabilitation Clinic/Center 261QR0400X PT19489 FL

Addresses

Primary practice location

734 N State Road 7
Plantation, FL 33317-2129

Mailing address

734 N State Road 7
Plantation, FL 33317-2129
Phone (954) 584-3774

Other names 1

  • Goldson Spine Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

734 N State Road 7
Plantation, FL 33317
Phone (866) 465-3766

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1023480985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172129",
            "telephone_number": "954-584-3774",
            "fax_number": "954-583-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172129",
            "telephone_number": "954-584-3774",
            "fax_number": "954-583-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL S. GOLDSON, DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "GOLDSON",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-584-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "CH9276",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT19489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldson Spine Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.