Organization
JOSEPH GOLDBERG, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GOLDBERG M.D (OWNER)
(305) 852-9300
Entity
Organization
Contact information
Practice address
91555 OVERSEAS HWY, SUITE 3, TAVERNIER, FL 33070-2505
(305) 852-9300
(305) 853-1260
Mailing address
91555 OVERSEAS HWY, SUITE 3, TAVERNIER, FL 33070-2505
(305) 852-9300
(305) 853-1260
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME64068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23965
BLUE CROSS BLUE SHIELD
FL
05
—
374873100
—
FL
Enumeration date
11/10/2008
Last updated
04/24/2009
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