Healthcare Provider Details

I. General information

NPI: 1063324705
Provider Name (Legal Business Name): DANNYGOLD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 NE 21ST AVE
FT LAUDERDALE FL
33308-5614
US

IV. Provider business mailing address

4000 NE 21ST AVE
FT LAUDERDALE FL
33308-5614
US

V. Phone/Fax

Practice location:
  • Phone: 585-697-4662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GOLDBERG
Title or Position: MD
Credential: MD
Phone: 585-697-4662