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DR. JACK B GOLDBERG D.O.
NPI 1083790174
Family Medicine in Lake Worth, FL

Active since October 31, 2006
4801 S CONGRESS AVE, SUITE 306, LAKE WORTH, FL 33461(561) 434-1469(561) 434-1197 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jack B Goldberg D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK B GOLDBERG D.O. (NPI 1083790174) is an individual family medicine provider in Lake Worth, Florida, licensed in Florida (0S4026) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083790174
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK B GOLDBERGCredential: D.O.
Location Address4801 S CONGRESS AVE, SUITE 306Lake Worth, FL 33461-4746
Mailing Address4801 S Congress Ave, Suite 306Lake Worth, FL 33461-4746 · (561) 434-1469 · Fax (561) 434-1197
Phone(561) 434-1469
Fax(561) 434-1197
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083790174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 0S4026
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4801 S CONGRESS AVE, Lake Worth, FL 33461
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Other Identifiers 1

Medicare UPIND60616FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOUIS F DONAGHUE M.D.
Specialist
4801 S CONGRESS AVE, SUITE 301
LAKE WORTH, FL 33461
Palm Beach County (561) 967-6500
MR. CHARLES DAVID SANFORD P.A.
Physician Assistant (Surgical)
4801 S CONGRESS AVE, SUITE 301
LAKE WORTH, FL 33461
Palm Beach County (561) 967-6500
MS. EILEEN M FLANAGAN P.A.
Physician Assistant (Surgical)
4801 S CONGRESS AVE, SUITE 301
LAKE WORTH, FL 33461
Palm Beach County (561) 967-6500
MR. TIMOTHY M. SHANNON P.T.
Specialist
4801 S CONGRESS AVE, SUITE 301
LAKE WORTH, FL 33461
Palm Beach County (561) 967-6500
DR. MARGARITA RODRIGUEZ DMD
Dentist (General Practice)
4801 S CONGRESS AVE, SUITE #202
LAKE WORTH, FL 33461
Palm Beach County (561) 969-2696
MR. ROCCO FERRAIOLO PTA
Physical Therapy Assistant
4801 S CONGRESS AVE
LAKE WORTH, FL 33461
Palm Beach County (561) 967-6500
YANICK P EUGENE DAUPHIN MDPA
Internal Medicine (Infectious Disease)
4801 S CONGRESS AVE, SUITE 201A
LAKE WORTH, FL 33461
Palm Beach County (561) 439-4779
AUDREY E SAWNEY-YOUNG
Occupational Therapy Assistant
4801 S CONGRESS AVE
LAKE WORTH, FL 33461
Palm Beach County (561) 967-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Goldberg's NPI number?

The NPI number for Jack Goldberg is 1083790174. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Jack Goldberg located?

Jack Goldberg practices at 4801 S Congress Ave Suite 306, Lake Worth, FL 33461. The listed phone number is (561) 434-1469.

What is Jack Goldberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Goldberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.