Our Golden Medical Center in Miami - Non-pharmacy Dispensing Site

Our Golden Medical Center - NPI 1447366208

Our Golden Medical Center is a Non-pharmacy Dispensing Site in Miami, Florida. Our Golden Medical Center practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Our Golden Medical Center is 1447366208. The last update date is 2020-08-22.

Our Golden Medical Center's current location address is 12781 Sw 42nd St, Miami, Florida. You can contact this provider via phone number 3052293990. The mailing address for Our Golden Medical Center is 12781 Sw 42nd St, Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Our Golden Medical Center
Address 12781 Sw 42nd St, Miami, Florida
Phone Number 3052293990
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGED CA
Authorized Official Name Shackelford Direndia
Telephone Number 8006540889

NPI Number Detail

NPI Number 1447366208
Provider Enumeration Date 2006-08-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12781 Sw 42nd St
City Miami
State Florida (FL)
Post Code 331753437
Phone Number 3052293990
Fax Number

Provider's Primary Taxonomy Detail

Speciality Non-pharmacy Dispensing Site
Taxonomy 332900000X
Licence No ME81667
Definition:
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1019113 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Our Golden Medical Center

What is the unique identifier code issued to Our Golden Medical Center by the Centers for Medicare & Medicaid Services?

The Our Golden Medical Center has been assigned the NPI (National Provider Identifier) 1447366208. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Our Golden Medical Center?

The Our Golden Medical Center is physically situated at 12781 Sw 42Nd St, in the city of Miami, state of FL, with the postal code 331753437.

What is the area of specialization for Our Golden Medical Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Our Golden Medical Center is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this area of expertise is 332900000X.

On what date did the Our Golden Medical Center receive the assignment of its 1447366208 from the Centers for Medicare & Medicaid Services?

The Our Golden Medical Center was issued its 1447366208 by the Centers for Medicare & Medicaid Services on 2006-08-22.

When was the information regarding Our Golden Medical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Our Golden Medical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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