Individual
MR. STEPHEN DANIEL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
460 E ALTAMONTE DR STE 2200, ALTAMONTE SPRINGS, FL 32701-4602
(407) 869-8747
Mailing address
619 BYRON RD, WINTER PARK, FL 32792-3104
(407) 671-3161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0002722
FL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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