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NPI Code Detail

MEDICARE: DR. MICHAEL LOUIS GOLDBERG M.D.

MEDICARE:  DR. MICHAEL LOUIS GOLDBERG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME153183FL

General Provider Information

NPI Number : 1891140794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LOUIS GOLDBERG M.D.
Provider Business Mailing Address
First Line : 22119 MARTELLA AVE
Second Line :
City : BOCA RATON
State : FL
Zip : 33433-4661
Country : US
Telephone Number : 561-690-8904
Fax Number :
Provider Business Practice Location Address
First Line : 8198 S JOG RD STE 100
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33472-2998
Country : US
Telephone Number : 561-943-5519
Fax Number : 561-423-3948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2016
Last Update Date : 05/05/2024

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Directions to “ DR. MICHAEL LOUIS GOLDBERG M.D.” Practice Location

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