Healthcare Provider Details

I. General information

NPI: 1083816532
Provider Name (Legal Business Name): DAVID GOLD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 N UNIVERSITY DRIVE STE 101S
TAMARAC FL
33321-5131
US

IV. Provider business mailing address

7777 N UNIVERSITY DRIVE STE 101S
TAMARAC FL
33321-5131
US

V. Phone/Fax

Practice location:
  • Phone: 954-724-5500
  • Fax: 954-724-5131
Mailing address:
  • Phone: 954-724-5500
  • Fax: 954-724-5131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT20037
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: