Lawrence R. Goldberg M.D. P.A.
Specialist in Saint Petersburg, FL. Organization (NPI-2).
NPI number1144530379
StatusActive
Last updated in NPPESOct 21, 2010
Details
- NPI
- 1144530379
- Entity type
- Organization (NPI-2)
- Legal business name
- Lawrence R. Goldberg M.D. P.A.
- Organization subpart
- No
- Enumeration date
- Oct 21, 2010
- Last updated
- Oct 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 0035408 | FL | Yes |
Practice location
4957 38th Ave NSuite D
Saint Petersburg, FL 33710-2174
Phone 727-521-4669
Mailing address
4957 38th Ave NSuite D
Saint Petersburg, FL 33710-2174
Phone 727-521-4669
Authorized official
Lawrence Goldberg
Owner
7275214669
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