Individual
DR. HARRIS IRA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1696 SE HILLMOOR DR, STE C, PORT SAINT LUCIE, FL 34952-7699
(772) 335-3222
(772) 335-3793
Mailing address
1696 SE HILLMOOR DR, SUITE C, PORT ST LUCIE, FL 34952-7699
(772) 335-3222
(772) 335-3793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH005283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381-223500
—
FL
Enumeration date
10/17/2005
Last updated
06/04/2018
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