| Kenneth J Gold Md Pa | |
|
8000 South Us Hwy 1 Suite 200 Port St Lucie FL 34952 | |
| (772) 343-0913 | |
| (772) 343-0915 |
| Full Name | Kenneth J Gold Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8000 South Us Hwy 1, Port St Lucie, Florida |
| Authorized Official Name and Position | Kenneth J Gold (PRESIDENT) |
| Authorized Official Contact | 7723430913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Gold Md Pa 8000 South Us Hwy 1 Suite 200 Port St Lucie FL 34952 Ph: (772) 343-0913 | Kenneth J Gold Md Pa 8000 South Us Hwy 1 Suite 200 Port St Lucie FL 34952 Ph: (772) 343-0913 |
| NPI Number | 1902944739 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902944739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Florida) | Primary |
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