Organization
LIGHTHOUSE ORTHOPAEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J GOBERVILLE MD (PRESIDENT)
(954) 942-0321
Entity
Organization
Contact information
Practice address
9970 CENTRAL PARK BLVD N STE 400, BOCA RATON, FL 33428-2236
(561) 483-1600
(561) 451-4732
Mailing address
1821 NE 25TH ST, LIGHTHOUSE POINT, FL 33064-7744
(954) 942-0321
(954) 946-7018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38853A
FL
Other
Enumeration date
11/17/2006
Last updated
09/25/2007
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