Individual
BRANDON GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
160 MINE LAKE CT STE 200, RALEIGH, NC 27615-6417
(305) 466-9988
(305) 466-9989
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(305) 466-9988
(305) 466-9989
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-03344
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-03344
NC
Other
Enumeration date
01/23/2012
Last updated
04/18/2019
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