Jacob Goldberg, | |
11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821 | |
(813) 563-7600 | |
(813) 563-7601 |
Full Name | Jacob Goldberg |
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Gender | Male |
Speciality | Chiropractor |
Location | 11012 N Dale Mabry Hwy Ste 304, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043716459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH13953 (Florida) | Primary |
Provider Name | Redefine Your Spine, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174250070 PECOS PAC ID: 3678949674 Enrollment ID: O20221017001197 |
Mailing Address | Practice Location Address |
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Jacob Goldberg, 11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821 Ph: () - | Jacob Goldberg, 11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821 Ph: (813) 563-7600 |
Dr. Colin Sinnott, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8039 E Dr Martin Luther King Jr Blvd, Tampa, FL 33619 Phone: 656-204-2464 | |
Dr. Nick A Venturino, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14491 University Cove Pl, Tampa, FL 33613 Phone: 813-977-2383 Fax: 813-977-2585 | |
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