Goldfarb, Glen R.

Goldfarb, Glen R. is an individual health care provider with primary practice located at 620 10Th Street N. , St Petersburg FL 33705-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Goldfarb, Glen R. can be contacted via phone (727) 824-8375.

Contact Information

Primary practice address
620 10Th Street N. St Petersburg FL 33705-1407
Phone: (727) 824-8375
Fax: (727) 824-7140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X ME66028 Florida

Profile Details

NPI number 1548255151
LBN Legal business name Goldfarb, Glen R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 4th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548255151 NPPES
Florida MEDICAID 261168600

Popular Providers