Healthcare Provider Details

I. General information

NPI: 1043292113
Provider Name (Legal Business Name): GYNECOLOGIC ONCOLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 NW 14TH ST SUITE H
MIAMI FL
33125-1610
US

IV. Provider business mailing address

PO BOX 816967
HOLLYWOOD FL
33081-0967
US

V. Phone/Fax

Practice location:
  • Phone: 305-324-7300
  • Fax: 305-324-1798
Mailing address:
  • Phone: 954-838-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEWIS GOLD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-838-2371