Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Goldberg

Individual provider Chiropractor · NPI 1043716459

Jacob Goldberg is a Chiropractic in Tampa, Florida. Graduated from Life Chiropractic College in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Trained at
Life Chiropractic College
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

11012 N Dale Mabry Hwy Ste 304
Tampa, FL 33618-3821
Phone: (813) 563-7600
Fax: (813) 563-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Harrison St Ste A, Batesville, AR 72501-6949 — (870) 569-4909

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH13953 (FL)

Record details

NPI number1043716459
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2018
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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