Goldberg, Mark E.
Goldberg, Mark E. is an sole proprietor health care provider with primary practice located at 2929 N University Dr Suite 106, Coral Springs FL 33065-5081. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goldberg, Mark E. can be contacted via phone (954) 752-9570.Contact Information
Primary practice address
2929 N University Dr Suite 106
Coral Springs FL 33065-5081
Phone: (954) 752-9570
Fax: (954) 752-9660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 1084 | Florida |
Profile Details
| NPI number | 1679527907 |
|---|---|
| LBN Legal business name | Goldberg, Mark E. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 3rd, 2011 - about 13 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 | 1679527907 | NPPES |
| Florida | Other | 1134450001 | PALMETTO SUPPLIER NUMBER |
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