Most Relevant Information
Provider Data
NPI Number: | 1003067786 |
Provider Name: | STEFANIE S GOLD PA-C |
Entity Type: | Individual |
Taxonomy Code: | 207N00000X |
Specialty: | Dermatology |
License Number: | PA9104609 |
Most Important Dates
Enumeration Date: | 10/01/2008 |
Last Updated: | 02/05/2019 |
Provider Practice Location
4601 N FEDERAL HWY
BOCA RATON
FL
334315133
Practice Location Phone/Fax
Phone: | 5613628000 |
Fax: | 5614376806 |
Provider Mailing Location
1120 BAYVIEW DRIVE
FT LAUDERDALE
FL
333042505
Provider Mailing Phone/Fax
Phone: | |
Fax: |