Individual
MRS. PAULA M GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
12403 ROCKLEDGE CIR, BOCA RATON, FL 33428
(561) 488-3999
(561) 892-0166
Mailing address
3075 EQUESTRIAN DR, BOCA RATON, FL 33434-3357
(561) 488-3999
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0-02-0583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685293996
MEDWAIVER
FL
05
—
811855800
—
FL
Enumeration date
07/29/2007
Last updated
08/27/2018
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