Individual
DR. MARK S GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-0140
(352) 392-8217
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME38090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374815400
—
FL
Enumeration date
06/09/2006
Last updated
10/18/2010
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