MEDICAL GOLDEN CLINIC LLC NPI 1073082236

NPI Information

MEDICAL GOLDEN CLINIC LLC is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICAL GOLDEN CLINIC LLC NPI is 1073082236. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4365 HUNTERS PARK LN # 10
ORLANDO, FL
ZIP 32837-614
Phone: (407) 413-3200

The provider's authorized official is Hector J Nieves-davila .
The authorized official title is Ceo and has the following contact phone number (787) 955-6920.

The CLIA number assigned to this NPI record is 10D2172209 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2018 and was last updated on 8/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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