Individual
SCOTT L GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901-2607
(321) 473-6160
(321) 725-7028
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 473-6160
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME42130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05474U
MEDICARE
FL
05
—
280300300
—
FL
01
—
4038971
AETNA
FL
Enumeration date
03/22/2006
Last updated
07/20/2022
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