Individual
HEIDI GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 SEMINOLE BLVD, STE 201, SEMINOLE, FL 33772-2562
(727) 393-6881
Mailing address
15809 PENNINGTON RD, TAMPA, FL 33624-1582
(813) 960-7841
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0053509
FL
Other
Enumeration date
08/16/2006
Last updated
03/29/2012
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