Individual
TODD MICHAEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
603 N FLAMINGO RD, #361, PEMBROKE PINES, FL 33028-1023
(954) 432-7900
(954) 433-4903
Mailing address
603 N FLAMINGO RD, SUITE 361, PEMBROKE PINES, FL 33028-1023
(954) 432-7900
(954) 433-4903
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS6703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375827300
—
FL
01
—
80888
BCBS
FL
Enumeration date
01/17/2006
Last updated
04/07/2011
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