Individual
DR. ERIC M GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
311 N CLYDE MORRIS BLVD, SUITE 70 (HALIFAX HEALTH CENTER FOR ADVANCED WOUND HEAL, DAYTONA BEACH, FL 32114-2756
(386) 425-4267
(386) 258-4879
Mailing address
PO BOX 732901, DALLAS, TX 75373-2901
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2530
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340118900
—
FL
Enumeration date
11/07/2005
Last updated
03/02/2016
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