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Individual

JOSHUA M GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42813
CO
2086S0102X
Surgical Critical Care Physician
MD.204457
LA
2086S0102X
Surgical Critical Care Physician
Primary
ME133602
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02975556
MS
05
2141139
LA
05
69074828
CO
Enumeration date
10/03/2006
Last updated
04/19/2023
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