| Doctor Name: | DAVID T GOLDSBERRY |
| NPI Number: | 1720061260 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME62723 |
| Business Practice Address: | 4020 Sun City Center Blvd Suite 19 Sun City Center, FL - 335735285 |
| Business Phone Number: | 8136349264 |
| Business Fax Number: | 8136348578 |
| Mailing Address: | 4020 Sun City Center Blvd, Suite 19 SUN CITY CENTER |
| State: | FL |
| Postal Code: | 335737203 |
| Phone Number: | 8136349264 |
| Fax Number: | 8136348578 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME62723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |