Individual
MICHAEL CHARLES GOLDBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 W WATERS AVE, TAMPA, FL 33614-1852
(813) 348-9088
Mailing address
2809 W WATERS AVE, TAMPA, FL 33614-1852
(813) 348-9088
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME125075
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN15004
FL
Other
Enumeration date
06/17/2010
Last updated
03/17/2018
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