Provider Demographics
NPI:1538260989
Name:GOLDSOTN, SUHAILL
Entity type:Individual
Prefix:MRS
First Name:SUHAILL
Middle Name:
Last Name:GOLDSOTN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8451 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3207
Mailing Address - Country:US
Mailing Address - Phone:786-506-1918
Mailing Address - Fax:
Practice Address - Street 1:9055 SW 87TH AVE
Practice Address - Street 2:305
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2306
Practice Address - Country:US
Practice Address - Phone:305-270-1361
Practice Address - Fax:305-270-9138
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist