Individual
JOHN MAYER GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 NW 12TH AVE, 9TH FLOOR, MIAMI, FL 33136-1005
(305) 243-6275
(305) 243-3816
Mailing address
1601 NW 12TH AVE, 9TH FLOOR, MIAMI, FL 33136-1005
(305) 243-6275
(305) 243-3816
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME101370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018161
—
MA
01
—
213948
TUFTS
—
05
—
2810816-00
—
FL
01
—
AA39038
HPHC DFCI ONLY
—
01
—
J26754
MASSACHUSETTS BCBS
—
Enumeration date
03/08/2006
Last updated
01/27/2014
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