MEDICARE: JOSEPH FREDRICK GOLD PHARMD

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	183500000X	Pharmacist	051296584	IL
2	183500000X	Pharmacist	21646	NC
3	183500000X	Pharmacist	PS48510	FL

General Provider Information

NPI Number	:	1619263498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH FREDRICK GOLD PHARMD

Provider Business Mailing Address
First Line	:	11180 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-4648
Country	:	US
Telephone Number	:	352-686-2235
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5625
Country	:	US
Telephone Number	:	352-200-5835
Fax Number	:

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

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	10/20/2020

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