206 Golden LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

206 GOLDEN LLC

Practice address

206 W Orange St
Davenport, FL 33837-3118

Phone

(863) 422-4961

Fax

(863) 422-1707

NPI assigned

Nov 6, 2013

Organization subpart

No

Name

Margaret Fernandez

Title

Cfo

Phone

(954) 241-0345

Locations

• The Crossroads Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2013.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1104255488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 NOVA DR",
            "address_2": "STE 168",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177401",
            "telephone_number": "813-965-8090",
            "fax_number": "954-337-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W ORANGE ST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373118",
            "telephone_number": "863-422-4961",
            "fax_number": "863-422-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "206 GOLDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-241-0345"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Davenport, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.