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Individual

LAUREN GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8917
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8917

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125066508
IL
208000000X
Pediatrics Physician
Primary
ME156028
FL

Other

Enumeration date
06/15/2015
Last updated
10/11/2022
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