Individual
HARLENE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8481
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9338930
FL
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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