Jack B Goldberg D.O.

NPI 1083790174 - Family Medicine - 207Q00000X

NPI Details
NPI 1083790174
Gender Male
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4801 S CONGRESS AVE
SUITE 306
LAKE WORTH FL, 33461-4746, US
Phone (561) 434-1469
Fax (561) 434-1197
Business Location
4801 S CONGRESS AVE
SUITE 306
LAKE WORTH FL, 33461-4746, US
Phone (561) 434-1469
Fax (561) 434-1197
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number 0S4026
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According to our database, Dr. Jack B Goldberg D.O. NPI is 1083790174, taxonomy code is 207Q00000X and license number is 0S4026, license state is located at Florida. Jack B Goldberg D.O. physically located at 4801 S Congress Ave, Lake Worth FL, 33461-4746. NPI Number Jack B Goldberg D.O. has the Individual type.

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1083790174 NPI number is provided on an as is basis without warranty of any kind. 1083790174 is maintained by the National Plan & Provider Enumeration System. The contents of Jack B Goldberg D.O. are for informational purposes only.