Individual
DR. LAWRENCE S GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 BELFORT RD, SECOND FLOOR, JACKSONVILLE, FL 32256-6004
(904) 398-7205
(904) 396-4047
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3262
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0032734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037044400
—
FL
Enumeration date
07/07/2005
Last updated
05/23/2011
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