Gold, Jay C

Gold, Jay C is an sole proprietor health care provider with primary practice located at 1301 S International Parkway Suite 2021, Lake Mary FL 32746-1411. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gold, Jay C can be contacted via phone (407) 324-0484.

Contact Information

Primary practice address
1301 S International Parkway Suite 2021 Lake Mary FL 32746-1411
Phone: (407) 324-0484
Fax: (407) 324-5890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0044467 Florida

Profile Details

NPI number 1407849508
LBN Legal business name Gold, Jay C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Jun 24th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407849508 NPPES
Florida MEDICAID 045710800

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