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
Fax: (954) 578-2595
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588653703 NPPES
Florida MEDICAID 038430500
Florida Other 93074
Florida Other 2798387
Florida Other 202140

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