Individual
KENNETH JAY GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8000 SOUTH US HWY 1, SUITE 200, PORT ST LUCIE, FL 34952
(772) 343-0913
(772) 343-0915
Mailing address
8000 SOUTH US HWY 1, SUITE 200, PORT ST LUCIE, FL 34952
(772) 343-0913
(772) 343-0915
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0050566
FL
Other
Enumeration date
02/02/2007
Last updated
03/23/2010
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