MEDICARE: DR. JOANN MARIE GOLD MD

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	207V00000X	Obstetrics & Gynecology Physician	ME166245	FL

General Provider Information

NPI Number	:	1376172999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANN MARIE GOLD MD

Provider Business Mailing Address
First Line	:	1600 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N US HIGHWAY 17 92
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-3624
Country	:	US
Telephone Number	:	407-876-6699
Fax Number	:

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

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	04/13/2026

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