Most Relevant Information
Provider Data
| NPI Number: | 1003550641 |
| Provider Name: | JACOB GOLDENBERG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2022 |
| Last Updated: | 04/21/2022 |
Provider Practice Location
1600 S ANDREWS AVE
FORT LAUDERDALE
FL
333162510
Practice Location Phone/Fax
| Phone: | 9549418300 |
| Fax: |
Provider Mailing Location
1600 S ANDREWS AVE
FORT LAUDERDALE
FL
333162510
Provider Mailing Phone/Fax
| Phone: | 9548762586 |
| Fax: |