Individual
DR. MICHAEL GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8791 CONFERENCE DR STE 100, FORT MYERS, FL 33919-5822
(239) 331-5566
Mailing address
1161 21ST AVE S, CCC-4322AA MCN, NASHVILLE, TN 37232-2730
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME162524
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
06/19/2023
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