Organization
SCOTT L GOLD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L GOLD MD (OWNER)
(321) 984-2133
Entity
Organization
Contact information
Practice address
1535 W NASA BLVD, SUITE A, MELBOURNE, FL 32901
(321) 984-2133
(321) 984-2113
Mailing address
1535 W NASA BLVD, SUITE A, MELBOURNE, FL 32901
(321) 984-2133
(321) 984-2113
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME42130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05474
BLUE CROSS BLUE SHIELD
FL
01
—
4038971
AETNA
FL
Enumeration date
03/07/2007
Last updated
08/22/2020
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