Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME 37635 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | ME 37635 | FL |
NPI | 1154497162 |
---|---|
Provider Name | Dr. Neil Spencer Gold |
First Address | Delray Beach, FL 33484 |
Second Address | Delray Beach, FL 33484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
96925 | BLUE CROSS (01) | FL |