Goldenberg, Eric M

Goldenberg, Eric M is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 70 (Halifax Health Center For Advanced Wound Heal, Daytona Beach FL 32114-2756. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Goldenberg, Eric M can be contacted via phone (386) 425-4267.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 70 (Halifax Health Center For Advanced Wound Heal Daytona Beach FL 32114-2756
Phone: (386) 425-4267
Fax: (386) 258-4879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO2530 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2530 Florida

Profile Details

NPI number 1699756726
LBN Legal business name Goldenberg, Eric M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 2nd, 2016 - about 10 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 1699756726 NPPES
Florida MEDICAID 340118900

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