Goldberg, Lawrence S

Goldberg, Lawrence S is an individual health care provider with primary practice located at 4800 Belfort Rd Second Floor, Jacksonville FL 32256-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goldberg, Lawrence S can be contacted via phone (904) 398-7205.

Contact Information

Primary practice address
4800 Belfort Rd Second Floor Jacksonville FL 32256-6004
Phone: (904) 398-7205
Fax: (904) 396-4047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0032734 Florida

Profile Details

NPI number 1699772483
LBN Legal business name Goldberg, Lawrence S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 23rd, 2011 - about 15 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 1699772483 NPPES
Florida MEDICAID 037044400

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