DTG Enterprises LLC D/B/a Dr Gold'S Optimal Living Institute

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME91930 Issued in FL

Legal business name

DTG ENTERPRISES LLC D/B/A DR GOLD'S OPTIMAL LIVING INSTITUTE

Practice address

8870 N Himes Ave # 329
Tampa, FL 33614-1627

Phone

(813) 379-7092

NPI assigned

Aug 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Gold, PH.D.

Title

Owner / Manager

Phone

(813) 226-7630

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1245649219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 N HIMES AVE # 329",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141627",
            "telephone_number": "813-379-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 N HIMES AVE # 329",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141627",
            "telephone_number": "813-379-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTG ENTERPRISES LLC D/B/A DR GOLD'S OPTIMAL LIVING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "813-226-7630",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.