Golomb, Roger Steven
Golomb, Roger Steven is an individual health care provider with primary practice located at 1122 Druid Rd E , Clearwater FL 33756-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Golomb, Roger Steven can be contacted via phone (727) 461-2282.Contact Information
Primary practice address
1122 Druid Rd E
Clearwater FL 33756-4100
Phone: (727) 461-2282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 0021279 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME0021279 | Florida |
Profile Details
| NPI number | 1841282340 |
|---|---|
| LBN Legal business name | Golomb, Roger Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Dec 7th, 2007 - about 18 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 | 1841282340 | NPPES |
| Florida | Other | 77445 | MEDICARE GROUP PROV NUMBE |
| Florida | Other | 2127587 | MEDICARE GROUP PROV NUMBE |
| Florida | Other | 0305012 | MEDICARE GROUP PROV NUMBE |
| Florida | Other | 78014Z | MEDICARE GROUP PROV NUMBE |
| Florida | Other | 2147510 | MEDICARE GROUP PROV NUMBE |
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