Provider Demographics
NPI:1619263498
Name:GOLD, JOSEPH FREDRICK (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FREDRICK
Last Name:GOLD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11180 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-4648
Mailing Address - Country:US
Mailing Address - Phone:352-686-2235
Mailing Address - Fax:
Practice Address - Street 1:105 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5625
Practice Address - Country:US
Practice Address - Phone:352-200-5835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051296584183500000X
NC21646183500000X
FLPS48510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist