| Heidi Goldberg MD PA | |
|
9555 Seminole Blvd Ste 201 Seminole FL 33772-2523 | |
| (813) 269-2422 | |
| (813) 269-2441 |
| Full Name | Heidi Goldberg MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 9555 Seminole Blvd Ste 201, Seminole, Florida |
| Authorized Official Name and Position | Susan Colborne (OPERATIONS MANAGER) |
| Authorized Official Contact | 8132692422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Goldberg MD PA 9555 Seminole Blvd Ste 201 Seminole FL 33772-2523 Ph: (813) 269-2422 | Heidi Goldberg MD PA 9555 Seminole Blvd Ste 201 Seminole FL 33772-2523 Ph: (813) 269-2422 |
| NPI Number | 1396932596 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 06/03/2008 |
| Medicare PECOS PAC ID | 9537240858 |
|---|---|
| Medicare Enrollment ID | O20080112000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396932596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0053509 (Florida) | Primary |
| Provider Name | Heidi E Goldberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346353059 PECOS PAC ID: 5294709028 Enrollment ID: I20040825001437 |
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