Individual
DR. JAY C GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S INTERNATIONAL PARKWAY, SUITE 2021, LAKE MARY, FL 32746-1411
(407) 324-0484
(407) 324-5890
Mailing address
1301 S INTERNATIONAL PARKWAY, SUITE 2021, LAKE MARY, FL 32746-1411
(407) 324-0484
(407) 324-5890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0044467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045710800
—
FL
Enumeration date
08/24/2005
Last updated
06/24/2010
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