Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | PA9104609 | FL |
NPI | 1003067786 |
---|---|
Provider Name | Stefanie S Gold |
First Address | Ft Lauderdale, FL 33304-2505 |
Second Address | Boca Raton, FL 33431-5133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 05/02/2019 |