Organization
DAYTONA FOOT & ANKLE SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MARK GOLDENBERG D.P.M. (PRESIDENT)
(386) 252-9656
Entity
Organization
Contact information
Practice address
311 N CLYDE MORRIS BLVD, SUITE 300, DAYTONA BEACH, FL 32114-2756
(386) 252-9656
(386) 252-4649
Mailing address
311 N CLYDE MORRIS BLVD, SUITE 300, DAYTONA BEACH, FL 32114-2756
(386) 252-9656
(386) 252-4649
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340118900
—
FL
01
—
65673
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/08/2007
Last updated
09/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us