IndividualActive
Glen Goldfarb, M.D.
NPI 1548255151 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · St Petersburg, FL
Provider details
- NPI number
- 1548255151
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME66028 (FL)
Practice location
620 10th Street N.
St Petersburg, FL 33705-1407
Phone: (727) 824-8375
Fax: (727) 824-7140
Mailing address
Po Box 12868
St Petersburg, FL 33733-2868
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2016-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.