MEDICARE: DR. PATRICIA DAWSON GOLD O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	OPC4013	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285845529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA DAWSON GOLD O.D.

Provider Business Mailing Address
First Line	:	840 WAKULLA LN
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-3831
Country	:	US
Telephone Number	:	407-539-4856
Fax Number	:	407-855-5281

Provider Business Practice Location Address
First Line	:	5687 RED BUG LAKE RD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4969
Country	:	US
Telephone Number	:	321-926-0940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	09/17/2018

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