MS. ALISHA GOLDBERG (NPI# 1447800701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447800701 |
| Entity Type | Individual |
| Full Name | MS. ALISHA GOLDBERG |
| Credential | PA-C |
| Practice Address |
670 Glades Rd Ste 100 Boca Raton FL 33431-6462 |
| Mailing Address |
9483 Boca Gardens Cir S Apt C Boca Raton FL 33496-1701 |
| Practice Telephone | 5613952626 |
| Mailing Telephone | 5614140579 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 9112462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
9112462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9112462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10308 W Sample Rd, Coral Springs, FL 330653942 | 8188159172 | |
| 14530 S Military Trl, Delray Beach, FL 334843706 | 5613810269 | |
| 15071 S State Road 7 Ste 100, Delray Beach, FL 334464107 | 5613810261 |
| Street Address |
670 GLADES RD STE 100 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-6462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665522 | Prissy Graciela Rampaly Rangel | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 | 2018-07-14 |
| 1891095196 | Maria Fernanda Konieczko | Physician Assistant | 9135 Saddlecreek Dr, Boca Raton, FL 33496-1892 | 2010-11-02 |
| 1962529800 | Kathleen A Duffy | Physician Assistant | 1211 Nw 15th St, Boca Raton, FL 33486-1204 | 2007-03-24 |
| 1861541096 | Michele A. Mysnyk-deangelo | Physician Assistant | 951 Broken Sound Pkwy Ste 115, Boca Raton, FL 33487-3531 | 2007-01-09 |
| 1881762573 | Craig Sprenger | Physician Assistant | 1398 Sw 18th St, Boca Raton, FL 33486-6634 | 2006-12-01 |
| 1891801171 | Charles Jacob Strader Jr. | Physician Assistant | 621 Nw 53rd St, Suite 330, Boca Raton, FL 33487 | 2006-08-21 |
| 1134764830 | Unidad De La Mujer LLC | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433-5666 | 2019-11-18 |
| 1881049302 | Ashley Lelchuk | Physician Assistant | 670 Glades Rd, Suite #300, Boca Raton, FL 33431-6461 | 2016-05-03 |
| 1174992465 | Matthew Earhart | Physician Assistant | 7301a W Palmetto Park Rd, #100b, Boca Raton, FL 33433-3409 | 2015-09-17 |
| 1578804183 | Ronald Jay Kerble | Physician Assistant | 825 Meadows Rd, Suite #111, Boca Raton, FL 33486 | 2013-03-06 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
Please comment or provide details below to improve the information on MS. ALISHA GOLDBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.