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Individual

DR. MARK N GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
296 NE 99TH ST, MIAMI SHORES, FL 33138-2435
(305) 557-3300
(305) 756-9689
Mailing address
857 NE 98 STREET, MIAMI SHORES, FL 33138-2532
(305) 557-3300
(305) 756-9689

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26931
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049846700
FL
Enumeration date
07/24/2006
Last updated
09/11/2012
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