Organization
PAIN MANAGEMENT PHYSICIANS OF SOUTH FLORIDA, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JAY GOLDBERG M.D. (PRESIDENT)
(954) 605-3724
Entity
Organization
Contact information
Practice address
8880 ROYAL PALM BLVD, SUITE 103, CORAL SPRINGS, FL 33065-5727
(954) 975-8233
(954) 974-2335
Mailing address
6295 NW 96TH TER, PARKLAND, FL 33076-1815
(954) 605-3724
(954) 255-9147
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME 66192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 66192
PROVIDER LICENSE NUMBER
FL
Enumeration date
06/30/2006
Last updated
09/10/2013
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