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NPI Code Detail

MEDICARE: OLIVIA GOLD

MEDICARE: OLIVIA GOLD
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
1171100000XAcupuncturistAP3761FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP3761OTHERFLAP3761

General Provider Information

NPI Number : 1962941344
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA GOLD
Provider Business Mailing Address
First Line : 4665 W ATLANTIC AVE STE C
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3800
Country : US
Telephone Number : 561-240-2867
Fax Number :
Provider Business Practice Location Address
First Line : 4665 W ATLANTIC AVE STE C
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3800
Country : US
Telephone Number : 561-240-2867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2017
Last Update Date : 02/17/2017

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Directions to “ OLIVIA GOLD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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