Organization
LIGHTHOUSE ORTHOPAEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J GOBERVILLE MD (PRESIDENT)
(954) 942-0321
Entity
Organization
Contact information
Practice address
1821 NE 25 STREET, LIGHTHOUSE POINT, FL 33064-7744
(954) 942-0321
(954) 942-0432
Mailing address
1821 NE 25 STREET, LIGHTHOUSE POINT, FL 33064-7744
(954) 942-0321
(954) 946-7018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38853
FL
207X00000X
Orthopaedic Surgery Physician
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Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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