Provider Demographics
NPI:1922351717
Name:GOLDBERG, STEVEN GARRETT (RT(R)(ARRT))
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:GARRETT
Last Name:GOLDBERG
Suffix:
Gender:M
Credentials:RT(R)(ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20880 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1151
Mailing Address - Country:US
Mailing Address - Phone:305-682-1441
Mailing Address - Fax:305-682-1855
Practice Address - Street 1:20880 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1151
Practice Address - Country:US
Practice Address - Phone:305-682-1441
Practice Address - Fax:305-682-1855
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL790552471B0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone Densitometry