Provider Demographics
NPI:1184697955
Name:GOLDBERG, DAVID C (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:GOLDBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NE SPANISH RIVER BLVD
Mailing Address - Street 2:SUITE # 35
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4515
Mailing Address - Country:US
Mailing Address - Phone:561-368-2446
Mailing Address - Fax:561-368-2990
Practice Address - Street 1:500 NE SPANISH RIVER BLVD
Practice Address - Street 2:SUITE # 35
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4515
Practice Address - Country:US
Practice Address - Phone:561-368-2446
Practice Address - Fax:561-368-2990
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor