Goldberg, Marc J
Goldberg, Marc J is an sole proprietor health care provider with primary practice located at 8399 W. Oakland Park Blvd. Suite A, Sunrise FL 33351-7311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goldberg, Marc J can be contacted via phone (954) 578-2066.Contact Information
Primary practice address
8399 W. Oakland Park Blvd. Suite A
Sunrise FL 33351-7311
Phone: (954) 578-2066
Fax: (954) 578-2595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME0032083 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME32083 | Florida |
Profile Details
| NPI number | 1588653703 |
|---|---|
| LBN Legal business name | Goldberg, Marc J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588653703 | NPPES |
| Florida | MEDICAID | 038430500 | |
| Florida | Other | 93074 | |
| Florida | Other | 2798387 | |
| Florida | Other | 202140 |
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