Heidi Goldberg
Internal Medicine, Gastroenterology in Seminole, FL. Individual provider (NPI-1).
NPI number1346353059
StatusActive
Last updated in NPPESMar 29, 2012
Details
- NPI
- 1346353059
- Entity type
- Individual (NPI-1)
- Name
- Heidi Goldberg
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2006
- Last updated
- Mar 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | ME0053509 | FL | Yes |
Practice location
9555 Seminole BlvdSte 201
Seminole, FL 33772-2562
Phone 727-393-6881
Mailing address
15809 Pennington RdTampa, FL 33624-1582
Phone 813-960-7841
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