GOLD PRIMARY CARE LLC NPI 1811367923

NPI Information

NPI: 1811367923
Provider Name: GOLD PRIMARY CARE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
401 CORBETT ST
SUITE 320
BELLEAIR, FL
ZIP 33756
Phone: (727) 900-7011
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GOLD PRIMARY CARE, LLC is a primary care clinic center in Belleair, FL. GOLD PRIMARY CARE, LLC NPI is 1811367923. The provider is registered as an organization entity type.

The provider's business location address is:

401 CORBETT ST
SUITE 320
BELLEAIR, FL
ZIP 33756-309
Phone: (727) 900-7011
Fax: (888) 349-9247

The provider's authorized official is Andreas Menesses Grossgold .
The authorized official title is Medical Director and has the following contact phone number (727) 330-3845.

The enumeration date for this NPI number is 10/1/2015 and was last updated on 10/1/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME113826	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006688000	MEDICAID	FLORIDA
2	GK957Z	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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