Goldberg, Dean Robert

Goldberg, Dean Robert is an individual health care provider with primary practice located at 4301 N Habana Ave , Tampa FL 33607-6546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Goldberg, Dean Robert can be contacted via phone (813) 870-4064.

Contact Information

Primary practice address
4301 N Habana Ave Tampa FL 33607-6546
Phone: (813) 870-4064
Fax: (813) 443-8146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X OS008597 Florida

Profile Details

NPI number 1437148368
LBN Legal business name Goldberg, Dean Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 16th, 2016 - about 9 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 1437148368 NPPES
Florida MEDICAID 265561600

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