Goldenberg, Eric M
Goldenberg, Eric M is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 70 (Halifax Health Center For Advanced Wound Heal, Daytona Beach FL 32114-2756. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Goldenberg, Eric M can be contacted via phone (386) 425-4267.Contact Information
Primary practice address
311 N Clyde Morris Blvd Suite 70 (Halifax Health Center For Advanced Wound Heal
Daytona Beach FL 32114-2756
Phone: (386) 425-4267
Fax: (386) 258-4879
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO2530 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO2530 | Florida |
Profile Details
NPI number | 1699756726 |
---|---|
LBN Legal business name | Goldenberg, Eric M |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2005 |
Last updated | Mar 2nd, 2016 - about 8 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 | 1699756726 | NPPES |
Florida | MEDICAID | 340118900 |
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