Individual
ROSS FREDERICK GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 NW 12TH AVE, MIAMI, FL 33136-1051
(305) 585-6081
Mailing address
1500 NW 12TH AVE, MIAMI, FL 33136-1051
(305) 585-6081
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45917
AZ
208600000X
Surgery Physician
MD435576
PA
208600000X
Surgery Physician
ME 108504
FL
208600000X
Surgery Physician
Primary
ME163249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182801
—
FL
Enumeration date
08/22/2006
Last updated
07/03/2023
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