| Stuart G. Gold, Psy.d., Ph.d., Llc | |
|
1450 Madruga Ave Ste 300 Coral Gables FL 33146-3164 | |
| (305) 793-4159 | |
| Not Available |
| Full Name | Stuart G. Gold, Psy.d., Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1450 Madruga Ave Ste 300, Coral Gables, Florida |
| Authorized Official Name and Position | Elizabeth M Thomas (MANAGING MEMBER) |
| Authorized Official Contact | 3057934159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart G. Gold, Psy.d., Ph.d., Llc 3240 Sw 192nd Ave Miramar FL 33029-5821 Ph: (305) 793-4159 | Stuart G. Gold, Psy.d., Ph.d., Llc 1450 Madruga Ave Ste 300 Coral Gables FL 33146-3164 Ph: (305) 793-4159 |
| NPI Number | 1245472422 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 08/03/2013 |
| Medicare PECOS PAC ID | 9638306665 |
|---|---|
| Medicare Enrollment ID | O20131218000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245472422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6015 (Florida) | Primary |
| Provider Name | Elizabeth M Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942214721 PECOS PAC ID: 8022080308 Enrollment ID: I20131218001276 |
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