Individual
DR. MARC J GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8399 W. OAKLAND PARK BLVD., SUITE A, SUNRISE, FL 33351-7311
(954) 578-2066
(954) 578-2595
Mailing address
P.O. BOX 39209, SUITE F, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME0032083
FL
207W00000X
Ophthalmology Physician
Primary
ME32083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038430500
—
FL
01
—
202140
AV MED
FL
01
—
2798387
AETNA
FL
01
—
93074
BCBS
FL
Enumeration date
10/20/2005
Last updated
03/22/2021
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