Individual provider Active NPI

Florencia Goluboff, MD

  • Family Medicine Physician
  • Davie, FL
National Provider Identifier
1437788718
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME157386 Issued in FL
Practice address
12525 Orange Dr Ste 710
Davie, FL 33330-4308
Phone
(954) 646-6911
NPI assigned
Apr 7, 2020
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME157386 FL Primary

Addresses

Primary practice location

12525 Orange Dr Ste 710
Davie, FL 33330-4308

Mailing address

12525 Orange Dr Ste 710
Davie, FL 33330-4308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917001174 FL Order and Referring Only - Family PracticePractitioner - Family Practice 0446678783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME157386FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Health Direct Primary Care, PLLC Current Accepting new patients
Baptist Health Medical Group Physicians LLC PastSince Apr 1, 2020 Accepting new patients

Locations

12525 Orange Dr
Ste 710
Davie, FL 33330
Phone (954) 475-2613

Interoperability endpoints

  • Direct secure messaging: florencia.goluboff.1@14931.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1437788718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 ORANGE DR STE 710",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 ORANGE DR STE 710",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304308",
            "telephone_number": "954-646-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUBOFF",
        "first_name": "FLORENCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME157386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.