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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1477737526 | NPPES |
| Florida | MEDICAID | 292973200 | |
| Florida | Other | Y0K5Q |
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