Goldbach, Vanessa L

Goldbach, Vanessa L is an individual health care provider with primary practice located at 2441 Oak Myrtle Ln Ste 101 , Wesley Chapel FL 33544-6334. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goldbach, Vanessa L can be contacted via phone (813) 406-4835.

Contact Information

Primary practice address
2441 Oak Myrtle Ln Ste 101 Wesley Chapel FL 33544-6334
Phone: (813) 406-4835
Fax: (813) 994-4835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA9103811 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103811 Florida

Profile Details

NPI number 1477737526
LBN Legal business name Goldbach, Vanessa L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Aug 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477737526 NPPES
Florida MEDICAID 292973200
Florida Other Y0K5Q

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