Organization
OPHTHALMOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC J GOLDBERG MD (PRESIDENT)
(954) 776-2020
Entity
Organization
Contact information
Practice address
2334 NE 53RD ST, FORT LAUDERDALE, FL 33308-3212
(954) 776-2020
Mailing address
2334 NE 53RD ST, FORT LAUDERDALE, FL 33308-3212
(954) 776-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME32083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993730002
MEDICARE DMERC
FL
01
—
40668
MEDICARE ID
FL
Enumeration date
04/02/2008
Last updated
04/02/2008
Update your record
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