Individual
DR. MARK E. GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2929 N UNIVERSITY DR, SUITE 106, CORAL SPRINGS, FL 33065-5081
(954) 752-9570
(954) 752-9660
Mailing address
2929 N UNIVERSITY DR, SUITE 106, CORAL SPRINGS, FL 33065-5081
(954) 752-9570
(954) 752-9660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134450001
PALMETTO SUPPLIER NUMBER
FL
Enumeration date
05/20/2006
Last updated
01/03/2011
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