| Louis D. Gold, Md, Pa | |
|
9080 Kimberly Blvd Suite 5 Boca Raton FL 33434-2862 | |
| (561) 477-7150 | |
| (561) 477-7161 |
| Full Name | Louis D. Gold, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9080 Kimberly Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Louis D. Gold (PRESIDEN) |
| Authorized Official Contact | 5614777150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis D. Gold, Md, Pa 9080 Kimberly Blvd Suite 5 Boca Raton FL 33434-2862 Ph: (561) 477-7150 | Louis D. Gold, Md, Pa 9080 Kimberly Blvd Suite 5 Boca Raton FL 33434-2862 Ph: (561) 477-7150 |
| NPI Number | 1083976641 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 0042466849 |
|---|---|
| Medicare Enrollment ID | O20120810000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083976641 | NPI | - | NPPES |
| 255195100 | Medicaid | FL | |
| B80515 | Other | FL | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME70557 (Florida) | Primary |
| Provider Name | Louis D Gold |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1730160292 PECOS PAC ID: 6103802590 Enrollment ID: I20040626000074 |
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