MEDICARE: DR. DANIEL ELIE 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
1	207W00000X	Ophthalmology Physician	202411	NY
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	ME141253	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699866301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ELIE GOLDBERG M.D.

Provider Business Mailing Address
First Line	:	2889 10TH AVE N STE 306
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3045
Country	:	US
Telephone Number	:	561-964-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	2889 10TH AVE N STE 306
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3045
Country	:	US
Telephone Number	:	561-964-0707
Fax Number	:	561-725-8795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	03/09/2022

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Directions to “ DR. DANIEL ELIE GOLDBERG M.D.” Practice Location

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