Golden Medical Center II

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GOLDEN MEDICAL CENTER II

Practice address

818 N Main St
Kissimmee, FL 34744-4564

Phone

(407) 201-5202

Fax

(407) 201-5047

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Elena Palacio

Title

Operations Manager

Phone

(305) 904-0616

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1265066237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444564",
            "telephone_number": "407-201-5202",
            "fax_number": "407-201-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444564",
            "telephone_number": "407-201-5202",
            "fax_number": "407-201-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEDICAL CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "305-904-0616"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "D620795765180",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Ages Senior Center LLC
• Golden Haven LLC
• Golden Hearts Home Care LLC
• Golden Legacy Home Health
• Golden Medical & Chiropractic Care, LLC
• Golden Years Family Home Care
• Goldenrod Pharmacy
• Alexey Goloubev
• Fabiana V Gomez Castillo, RBT
• Hector Fabio Gomez Celada

• Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, 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 27, 2020; 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.