Lawrence R. Goldberg M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0035408 Issued in FL

Legal business name

LAWRENCE R. GOLDBERG M.D. P.A.

Practice address

4957 38TH Ave N
Suite D
Saint Petersburg, FL 33710-2174

Phone

(727) 521-4669

NPI assigned

Oct 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Goldberg, M.D.

Title

Owner

Phone

(727) 521-4669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1144530379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "address_2": "SUITE D",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-521-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "address_2": "SUITE D",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-521-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R. GOLDBERG M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-521-4669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0035408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066311500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Lawless, BCBA
• Michael James Lawless, MD
• Lawrence B Savitsky, M.D., P.a.
• Lawrence G. Kass, P.a.
• Lawrence R Free DC PA
• Andrew Lawrence
• Chelsea Nicole Lawrence, ED.S.
• Floraine Lawrence, RBT
• Samantha Mary Lawrence, ARNP
• Shakisha Lawson, APRN, FNP

• Specialist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.