Provider Demographics
NPI:1063576494
Name:ANZ GOULD INVESTMENTS, INC.
Entity type:Organization
Organization Name:ANZ GOULD INVESTMENTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:205-534-1288
Mailing Address - Street 1:PO BOX 1314
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-6314
Mailing Address - Country:US
Mailing Address - Phone:205-330-5251
Mailing Address - Fax:205-330-9930
Practice Address - Street 1:2818 LURLEEN B WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3249
Practice Address - Country:US
Practice Address - Phone:205-330-9898
Practice Address - Fax:205-330-9930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL272213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51537563OtherBCBS
ALU66251Medicare UPIN
AL51537563OtherBCBS
AL51537563Medicare PIN