Individual
DR. RICHARD IAN GOLDBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5106 N ARMENIA AVE, SUITE 4, TAMPA, FL 33603-1433
(813) 875-0074
(813) 878-0186
Mailing address
5106 N ARMENIA AVE, SUITE 4, TAMPA, FL 33603-1433
(813) 875-0074
(813) 878-0186
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME34601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04029
BCBS
FL
01
—
0624143
AETNA
FL
Enumeration date
09/23/2005
Last updated
07/08/2007
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