| Scott L Gold Md Llc | |
|
1535 W Nasa Blvd Suite A Melbourne FL 32901 | |
| (321) 984-2133 | |
| (321) 984-2113 |
| Full Name | Scott L Gold Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1535 W Nasa Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Scott L Gold (OWNER) |
| Authorized Official Contact | 3219842133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott L Gold Md Llc 1535 W Nasa Blvd Suite A Melbourne FL 32901 Ph: (321) 984-2133 | Scott L Gold Md Llc 1535 W Nasa Blvd Suite A Melbourne FL 32901 Ph: (321) 984-2133 |
| NPI Number | 1457481418 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457481418 | NPI | - | NPPES |
| 05474 | Other | FL | BLUE CROSS BLUE SHIELD |
| 4038971 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME42130 (Florida) | Primary |
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