Organization
KENNETH J GOLD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J GOLD MD (PRESIDENT)
(772) 343-0913
Entity
Organization
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
—
FL
Other
Enumeration date
02/02/2007
Last updated
03/23/2010
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