| Organization Name: | GOLD PRIMARY CARE, LLC |
| NPI Number: | 1811367923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREAS MENESSES GROSSGOLD (MEDICAL DIRECTOR) |
| Mailing Address: | 401 Corbett St Suite 320 Belleair |
| State: | FL US |
| Postal Code: | 337567309 |
| Phone Number: | 7279007011 |
| Fax Number: | 8883499247 |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME113826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |