Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC4013 | FL |
NPI | 1285845529 |
---|---|
Provider Name | Dr. Patricia Dawson Gold |
First Address | Winter Springs, FL 32708-3831 |
Second Address | Winter Springs, FL 32708-4969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 17/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U86954 | (02) | FL |