Individual
RICHARD M GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 S TAMIAMI TRL, 1250 MEDICAL PLAZA STE 103, SARASOTA, FL 34239-2207
(941) 951-2100
(941) 951-2110
Mailing address
1250 S TAMIAMI TRL STE 103, SARASOTA, FL 34239-2221
(941) 951-2100
(941) 951-2110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME50004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371952900
—
FL
Enumeration date
06/30/2006
Last updated
08/13/2020
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