| Organization Name: | JOSEPH GOLDBERG, MD |
| NPI Number: | 1629222104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH GOLDBERG (OWNER) |
| Mailing Address: | 91555 Overseas Hwy Suite 3 Tavernier |
| State: | FL US |
| Postal Code: | 330702505 |
| Phone Number: | 3058529300 |
| Fax Number: | 3058531260 |
| NPI Enumeration Date: | 11/10/2008 |
| NPI Last Update Date: | 04/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME64068 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |