Golden Health Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME91614 Issued in FL

Legal business name

GOLDEN HEALTH CENTER INC

Practice address

7911 NW 72ND Ave Ste 119
Medley, FL 33166-2222

Phone

(305) 885-5180

Fax

(305) 885-7119

NPI assigned

Feb 1, 2014

Last updated

Feb 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael William Formisano, MD

Title

President

Phone

(305) 885-5180

Specialties & licenses 1

Addresses

Tax ID family

Golden Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Health Center

  • Clinic/Center
  • Miami, FL
  • NPI 1235552878
  NPD tax ID

Locations

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391212800000",
    "number": "1043633613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 119",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662222",
            "telephone_number": "305-885-5180",
            "fax_number": "305-885-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 119",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662222",
            "telephone_number": "305-885-5180",
            "fax_number": "305-885-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-01",
        "last_updated": "2014-02-01",
        "status": "A",
        "authorized_official_last_name": "FORMISANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-885-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME91614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kattya Galvez Heredia, RBT
• Lizmary Galvez
• Maria Milagros Gil-Flores
• GL Clinical Laboratory and Research LLC
• Gold Service Health Care LLC
• Goldstar Medical & Hospital Supply, Inc
• Suyin Gomez Estrada
• Gomez Reha Center Inc
• Belen C Gonzalez Elizondo
• Yaumara Gonzalez Jimenez

• Clinic/Center in Medley, FL
• Providers in Medley, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.