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Individual

DR. DAVID BRETT GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6010 A1A S, ST AUGUSTINE, FL 32080-7018
(904) 461-5080
(904) 217-0840
Mailing address
6010 A1A S, SAINT AUGUSTINE, FL 32080-7018
(904) 461-5080
(904) 217-0840

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 32733
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068796100
FL
Enumeration date
11/10/2006
Last updated
05/24/2011
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