DR. HARRIS IRA GOLDBERG (NPI# 1992794663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992794663 |
| Entity Type | Individual |
| Full Name | DR. HARRIS IRA GOLDBERG |
| Credential | D.C. |
| Practice Address |
1696 Se Hillmoor Dr Ste C Port Saint Lucie FL 34952-7699 |
| Mailing Address |
1696 Se Hillmoor Dr Suite C Port St Lucie FL 34952-7699 |
| Practice Telephone | 7723353222 |
| Practice Fax Number | 7723353793 |
| Mailing Telephone | 7723353222 |
| Mailing Fax Number | 7723353793 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH005283 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 381-223500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458279 | Harris I Goldberg | Internal Medicine | 7500 Sw 87 Ave, Suite 200, Miami, FL 33173-5426 | 2005-12-16 |
| Street Address |
1696 SE HILLMOOR DR STE C |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34952-7699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427382936 | Gentle Chiropractic Offices, Inc. | Chiropractor | 1696 Se Hillmoor Dr, Suite C, Port Saint Lucie, FL 34952-7699 | 2009-09-30 |
| 1629256417 | Aaron M Shevlin Dpm Pa | Clinic/Center | 1696 Se Hillmoor Dr, Ste B, Port Saint Lucie, FL 34952-7699 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133540 | Robert B. Musser | Chiropractor | 5483 Nw Saint James Dr, Port Saint Lucie, FL 34983-3444 | 2020-07-31 |
| 1932723723 | South Florida Injury Centers | Chiropractor | 1700 Se Hillmoor Dr Ste 502, Port Saint Lucie, FL 34952-7566 | 2020-06-08 |
| 1831713106 | David John Fleck | Chiropractor | 1642 Sw Gemini Ln, Port Saint Lucie, FL 34984-3616 | 2020-06-03 |
| 1346772340 | Patricia Cox | Chiropractor | 2172 Se Elmhurst Rd, Port Saint Lucie, FL 34952-4935 | 2017-03-29 |
| 1164843082 | Ravi Jitta | Chiropractor | 10552swvillage Pkwy, Port Saint Lucie, FL 34987-2359 | 2013-12-19 |
| 1447599907 | Inner Wellness Centers of Florida, LLC | Chiropractor | 6837 S Federal Hwy, Port Saint Lucie, FL 34952-1443 | 2013-02-04 |
| 1194077347 | Premier Wellness Centers | Chiropractor | 7043 S Us Highway 1, Port Saint Lucie, FL 34952-1401 | 2012-10-12 |
| 1447524731 | Oasis Chiropractic and Wellness, Inc | Chiropractor | 8980 S Us Highway 1 Ste 104, Port Saint Lucie, FL 34952-3482 | 2012-03-04 |
| 1043503378 | Gudeman Chiropractic Health Center, Pa | Chiropractor | 562 Se Port St Lucie Blvd, Port Saint Lucie, FL 34984-5108 | 2011-05-19 |
| 1780708487 | Robert B Merritt | Chiropractor | 170 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34984-5041 | 2007-03-19 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on DR. HARRIS IRA 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.